Individual
WEZZIE DAMALIS MUNTHALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 LAKE OTIS PKWY STE 322, ANCHORAGE, AK 99508-5231
(907) 562-1234
(907) 677-2007
Mailing address
3614 W 40TH AVE APT B, ANCHORAGE, AK 99517-2701
(907) 538-7712
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
192639
AK
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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