Individual
HAILEY J DEMELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44661 STERLING HWY STE A, SOLDOTNA, AK 99669-7900
(907) 420-0529
(907) 420-0530
Mailing address
44661 STERLING HWY STE A, SOLDOTNA, AK 99669-7900
(907) 420-0529
(907) 420-0530
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1712359
—
AK
Enumeration date
05/18/2021
Last updated
05/18/2021
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