Individual
MARITA MENDIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5212 LIONHEART DR, ANCHORAGE, AK 99508-2531
(907) 333-7888
Mailing address
5212 LIONHEART DR, ANCHORAGE, AK 99508-2531
(907) 333-7888
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
100724
AK
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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