Individual
LIZETTE ELENA PERNAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 PEGER RD, FAIRBANKS, AK 99709-5169
(907) 371-1300
Mailing address
4020 FOLKER ST, ANCHORAGE, AK 99508-5321
(907) 563-1000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
J9F3M4F3
ID
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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