NPI 1023310174
Cody Pequeno
Practice location
- Address
- 700 Chief Eddie Hoffman Highway, Bethel, AK 99559
- Phone
- (907) 543-6300
- Fax
- (907) 543-6366
- Mailing address
- P. O. Box 287, Bethel, AK 99559
Registered specialties (2)
Day Training/Habilitation Specialist
Primary
Personal Care Attendant
Registry record
- NPI
- 1023310174
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Nov 2010
- Record last updated
- 23 Nov 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.