Individual provider · NPI-1
Miracle Lilivau Aioso
Technician, Attendant Care Provider · Anchorage, AK
NPI number1790433076
StatusActive
Last updated in NPPESMar 15, 2022
Details
- NPI
- 1790433076
- Entity type
- Individual (NPI-1)
- Name
- Miracle Lilivau Aioso
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 15, 2022
- Certification date
- Mar 15, 2022
- Last updated
- Mar 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
3609 Richmond AveAnchorage, AK 99508-1134
Phone 907-306-4429
Mailing address
3609 Richmond AveAnchorage, AK 99508-1134
Phone 907-306-4429
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