Individual
HISAKO ITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCTMB/MPL
Contact information
Practice address
946 COWLES ST STE 101, FAIRBANKS, AK 99701-4381
(907) 479-4263
(907) 457-2163
Mailing address
946 COWLES ST STE 101, FAIRBANKS, AK 99701-4381
(907) 479-4263
(907) 457-2163
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
2008-1002
AK
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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