Individual
LUIS AGOSTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 ARCTIC BLVD STE 201, ANCHORAGE, AK 99503-4579
(907) 333-1999
(907) 278-1268
Mailing address
3300 ARCTIC BLVD SUITE 201, ANCHORAGE, AK 99503
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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