Individual
KEISSIA GADIANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2295 JASPER LN, ANCHORAGE, AK 99504-6004
(907) 331-8730
Mailing address
2295 JASPER LN, ANCHORAGE, AK 99504-6004
(907) 331-8730
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
101523
AK
376J00000X
Homemaker
Primary
101523
AK
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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