Individual provider · NPI-1

Ieremia Alavasi

Technician, Attendant Care Provider · Anchorage, AK

NPI number1861807976
StatusActive
Last updated in NPPESJun 26, 2014

Details

NPI
1861807976
Entity type
Individual (NPI-1)
Name
Ieremia Alavasi
Sex
Male
Sole proprietor
No
Enumeration date
Jun 26, 2014
Last updated
Jun 26, 2014

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

1117 Chugach Way Apt 12
Anchorage, AK 99503-5660

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