Individual
SHEILA MOGHADDASSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
670 W FIREWEED LN STE 160, ANCHORAGE, AK 99503-2561
(907) 770-0862
Mailing address
808 N 82ND ST APT F14, SCOTTSDALE, AZ 85257-3896
(480) 258-9100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
208218
AK
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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