Individual
EVANGELINE TOFA LEMAOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4960 EST. 43RD, B3, ANCHORAGE, AK 99508-9950
(907) 202-3046
Mailing address
4960 E 43RD AVE, ANCHORAGE, AK 99508-5664
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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