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Individual

ELVIRA E MENDES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNA OWNER

Contact information

Practice address
826 MCMILLAN CT, WASILLA, AK 99654
(907) 373-0503
Mailing address
PO BOX 873160, WASILLA, AK 99687-3160
(907) 373-0503

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
3739
AK

Other

Enumeration date
05/03/2007
Last updated
07/08/2007
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