Individual
MS. MARILOU C CUNANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 E 46TH AVE, ANCHORAGE, AK 99503-7308
(907) 522-6377
Mailing address
310 E 46TH AVE, ANCHORAGE, AK 99503-7308
(907) 522-6377
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL1749
—
AK
Enumeration date
04/25/2007
Last updated
10/01/2013
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