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Individual

ELIZABETH ANNE LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1550 E 74TH AVE, ANCHORAGE, AK 99507-2614
(907) 929-5826
Mailing address
1550 E 74TH AVE, ANCHORAGE, AK 99507-2614
(907) 929-5826

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
3747P1801X
Personal Care Attendant

Other

Enumeration date
12/19/2023
Last updated
12/19/2023
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