Individual
MS. LIZA TULIO MCCAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
6445 E BLUE LUPINE DR., PALMER, AK 99645-6445
(907) 745-8655
(907) 745-8654
Mailing address
6445 E BLUE LUPINE DR., PALMER, AK 99645-6445
(907) 745-8655
(907) 745-8654
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
74772
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74772
—
AK
Enumeration date
05/23/2007
Last updated
07/09/2007
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