NPI 1912768540

Thomas Aldebron

Practitioner Driver Wasilla, AK

Practice location

Address: 307 E Kalli Cir APT 4, Wasilla, AK 99654-6414
Phone: (907) 331-8695

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 49780 (AK)

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Registry record

NPI: 1912768540
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jan 2024
Record last updated: 22 Jan 2024

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.