Individual
JUDITO ACIDO CABUSAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1490 STATE HWY, BETHEL, AK 99559-1911
(907) 543-2110
Mailing address
PO BOX 1911, BETHEL, AK 99559-1911
(907) 543-2110
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
114974
AK
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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