Individual
ELIZABETH ANN MOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1835 BRAGAW ST STE 200, ANCHORAGE, AK 99508-3469
(907) 892-2327
Mailing address
PO BOX 298067, WASILLA, AK 99629-8067
(907) 892-2327
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PC03436
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC03436
—
AK
Enumeration date
02/12/2013
Last updated
02/12/2013
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