Individual
MISS ALEXANDRA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 S STEWARD MERIDIAN PARKWAY, WASILLA, AK 99654
(907) 414-6142
Mailing address
7362 W PARKS HWY # 498, WASILLA, AK 99623-9300
(907) 414-6142
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1668811
PCA
AK
Enumeration date
07/09/2018
Last updated
07/09/2018
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