Individual
KATHERINE ROSE ANDREIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 UNIVERSITY AVE STE 2B, FAIRBANKS, AK 99709-3651
(907) 929-5826
Mailing address
600 UNIVERSITY AVE STE 2B, FAIRBANKS, AK 99709-3651
(907) 929-5826
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
1712359
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1712359
—
AK
Enumeration date
07/05/2024
Last updated
07/05/2024
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