Individual
ELENA BALTAZAR CANLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 W 40TH AVE, ANCHORAGE, AK 99503-6507
(907) 250-9404
(907) 868-1156
Mailing address
7430 MARGARET CIR, ANCHORAGE, AK 99518-2043
(907) 250-9404
(907) 868-1156
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NUAA4861
AK
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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