Individual
MARILOU GELINDON PUGEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5048 SOUTHAMPTON DR, ANCHORAGE, AK 99503-6965
(907) 331-7220
Mailing address
5048 SOUTHAMPTON DR, ANCHORAGE, AK 99503-6965
(907) 331-7220
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
101558
AK
Other
Enumeration date
07/23/2021
Last updated
01/04/2024
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