Individual provider · NPI-1

Aitupe Alavisi

Technician, Attendant Care Provider · Anchorage, AK

NPI number1730551102
StatusActive
Last updated in NPPESOct 26, 2015

Details

NPI
1730551102
Entity type
Individual (NPI-1)
Name
Aitupe Alavisi
Sex
Male
Sole proprietor
No
Enumeration date
Oct 26, 2015
Last updated
Oct 26, 2015

Taxonomy and licenses

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

Practice location

1058 W 27th Ave
Anchorage, AK 99503-2424

Phone 907-274-7391

Mailing address

1058 W. 27th Ave.
Anchorage, AK 99503

Phone 907-274-7391

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