Individual
MRS. FLORA DELAROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7414 E 4TH AVE, ANCHORAGE, AK 99504-1308
(907) 444-0770
Mailing address
7414 E 4TH AVE, ANCHORAGE, AK 99504-1308
(907) 444-0770
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
701191
CA
163W00000X
Registered Nurse
NUR-R 28089
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7257761
DRIVER LICENSE
AK
Enumeration date
11/04/2014
Last updated
11/04/2014
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