Individual
JOANNE MATIAS POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 E 46TH AVE, ANCHORAGE, AK 99503-7308
(907) 205-0696
Mailing address
3720 GALACTICA DR, ANCHORAGE, AK 99517-1586
(907) 205-0696
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
101424
AK
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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