Individual
CRISALYN BUENARTE RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3541 CORONA CIR, ANCHORAGE, AK 99517-1486
(907) 887-6052
Mailing address
2108 W 47TH AVE, ANCHORAGE, AK 99517-3165
(907) 887-6052
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
101367
AK
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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