Individual
TALA VAIFANUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
426 N BRAGAW ST, ANCHORAGE, AK 99508-1315
(907) 244-1470
Mailing address
426 N BRAGAW ST, ANCHORAGE, AK 99508-1315
(907) 244-1470
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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