Individual
MS. JENNIE DALAODAO ERIBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3505 E 18TH AVE, ANCHORAGE, AK 99508-3368
(907) 717-6640
Mailing address
3505 E 18TH AVE, ANCHORAGE, AK 99508-3368
(907) 717-6640
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
100929
AK
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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