Individual
BERNADITH METUCUA LLOREN-PARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 CHILKOOT CT, ANCHORAGE, AK 99504-4319
(907) 222-3490
(907) 222-3490
Mailing address
5535 CHILKOOT CT, ANCHORAGE, AK 99504-4319
(907) 222-3490
(907) 222-3490
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
101302
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048
—
AK
Enumeration date
04/06/2019
Last updated
04/06/2019
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