Individual
RAE LOUISE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
540 W INTERNATIONAL AIRPORT RD, ANCHORAGE, AK 99518-1105
(202) 577-6420
Mailing address
540 W INTERNATIONAL AIRPORT RD, ANCHORAGE, AK 99518-1105
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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