Fuamatala Vaifanua
Technician, Attendant Care Provider in Anchorage, AK. Individual provider (NPI-1).
NPI number1962045476
StatusActive
Last updated in NPPESOct 28, 2019
Details
- NPI
- 1962045476
- Entity type
- Individual (NPI-1)
- Name
- Fuamatala Vaifanua
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 28, 2019
- Last updated
- Oct 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
1905 E 4th AveAnchorage, AK 99501-2908
Phone 907-744-2051
Mailing address
1905 E 4th AveAnchorage, AK 99501-2908
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