Individual
IVARENE HURTADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4441 DIPLOMACY DR, ANCHORAGE, AK 99508-5910
(907) 729-4166
Mailing address
4441 DIPLOMACY DR, ANCHORAGE, AK 99508-5910
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
180807
AK
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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