Individual
MISS LEILA WATFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 H ST STE 100, ANCHORAGE, AK 99501-3464
(907) 770-0862
Mailing address
711 H ST STE 100, ANCHORAGE, AK 99501-3464
(907) 770-0862
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
22325
AL
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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