Individual
NKECHI GLORIA ODIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9420 ERIS DR, ANCHORAGE, AK 99515-4505
(907) 350-2986
Mailing address
PO BOX 142214, ANCHORAGE, AK 99514-2214
(907) 350-2986
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
100581
AK
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
100581
AK
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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