Individual
MENIME SEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3120 W 79TH AVE, ANCHORAGE, AK 99502-4406
(907) 306-9776
Mailing address
3120 W 79TH AVE, ANCHORAGE, AK 99502-4406
(907) 306-9776
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
101412
AK
Other
Enumeration date
02/03/2021
Last updated
02/10/2021
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