NPI 1629323910

Jennie Dalaodao Eribal

Practitioner Physical Disabilities Residential Treatment Facility Anchorage, AK

Practice location

Address: 3505 E 18th Ave, Anchorage, AK 99508-3368
Phone: (907) 717-6640

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 100929 (AK)

Other Residential Treatment Facility, Physical Disabilities providers in Alaska →

Registry record

NPI: 1629323910
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jul 2012
Record last updated: 23 Jul 2012

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.