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Individual

MS. CHARLENE ANNE MATESICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCCA REEGEPNCST

Contact information

Practice address
2530 DEBARR RD, ANCHORAGE, AK 99508
(800) 478-7575
Mailing address
3300 E 41ST AVE, APT A, ANCHORAGE, AK 99508-5413
(907) 561-0959

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
43
AK
246ZE0600X
Electroneurodiagnostic Specialist/Technologist

Other

Enumeration date
10/11/2006
Last updated
09/11/2025
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