Individual
PETRA CUPINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1490 STATE HIGHWAY, BETHEL, AK 99559
(907) 543-2110
Mailing address
P.O. BOX 1048, BETHEL, AK 99559
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
15678
AK
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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