Individual
LEA G MINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7940 LADASA PL, ANCHORAGE, AK 99507-3052
(907) 771-4029
(907) 743-3061
Mailing address
7940 LADASA PL, ANCHORAGE, AK 99507-3052
(907) 771-4029
(907) 743-3061
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
101438
AK
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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