Individual
KATHLEEN J MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3651 MIRAGE CIR, ANCHORAGE, AK 99504-4381
(907) 565-9325
Mailing address
3651 MIRAGE CIR, ANCHORAGE, AK 99504-4381
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
704000294114
NTCA
—
Enumeration date
05/31/2018
Last updated
05/31/2018
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