Individual
MISS ENI IERUSALEMA MAVAEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
343 W BENSON BLVD STE 4, ANCHORAGE, AK 99503-3950
(907) 222-3237
(907) 222-5950
Mailing address
4040 WORONZOF DR., ANCHORAGE, AK 99517-2242
(907) 297-8942
(907) 222-5950
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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