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Mohamed Kanu

Peer Specialist in Anchorage, AK. Individual provider (NPI-1).

NPI number1164064176
StatusActive
Last updated in NPPESOct 10, 2019

Details

NPI
1164064176
Entity type
Individual (NPI-1)
Name
Mohamed Kanu
Sex
Male
Sole proprietor
No
Enumeration date
Oct 10, 2019
Last updated
Oct 10, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

2211 Arca Dr
Anchorage, AK 99508-3462

Phone 907-277-6677

Mailing address

2211 Arca Dr
Anchorage, AK 99508-3462

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