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Martin Rafael

Technician, Attendant Care Provider in Anchorage, AK. Individual provider (NPI-1).

NPI number1124455563
StatusActive
Last updated in NPPESSep 30, 2013

Details

NPI
1124455563
Entity type
Individual (NPI-1)
Name
Martin Rafael
Sex
Male
Sole proprietor
No
Enumeration date
Sep 30, 2013
Last updated
Sep 30, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider––Yes

Practice location

1111 Oceanview Dr
Anchorage, AK 99515-3906

Phone 907-830-7180

Mailing address

1111 Oceanview Dr
Anchorage, AK 99515-3906

Phone 907-830-7180

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