Individual provider · NPI-1

Taisavali Afe

Technician, Attendant Care Provider · Anchorage, AK

NPI number1609419191
StatusActive
Last updated in NPPESOct 28, 2019

Details

NPI
1609419191
Entity type
Individual (NPI-1)
Name
Taisavali Afe
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 28, 2019
Last updated
Oct 28, 2019

Taxonomy and licenses

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

Practice location

1905 E 4th Ave
Anchorage, AK 99501-2908

Phone 907-744-2051

Mailing address

1905 E 4th Ave
Anchorage, AK 99501-2908

Phone 907-744-2051

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