Individual
AMELIA VICTORIA MAINORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4160 TUDOR CENTRE DR, ANCHORAGE, AK 99508-5901
(907) 729-8691
(907) 729-6366
Mailing address
4160 TUDOR CENTRE DR, ANCHORAGE, AK 99508-5901
(907) 729-8691
(907) 729-6366
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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