Individual
LOSE MALAETIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 E 3RD AVE, ANCHORAGE, AK 99501-2647
(907) 744-2051
Mailing address
325 E 3RD AVE, ANCHORAGE, AK 99501-2647
(907) 744-2051
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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