Organization
ALASKA FOOT CARE NURSES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTINA LOUISE DEVILLEZ RN (OWNER)
(907) 250-4412
Entity
Organization
Contact information
Practice address
991 N HERMON SUITE 100, WASILLA, AK 99654
(907) 250-4412
Mailing address
PO BOX 874263, WASILLA, AK 99687-4263
(907) 250-4412
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
18544
AK
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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