Alice Shantz

NPI 1013137348 - Lodging - 177F00000X

NPI Details
NPI 1013137348
Enumeration Date 04/27/2007
Last Updated 09/20/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ALICE S ALICE
Position OWNER
Phone (907) 543-3232
Fax (907) 543-1443
Practice Location
473 RIDGECREST DRIVE
BOX 1915
BETHEL AK, 99559-1915, US
Phone (907) 543-3232
Fax (907) 543-1443
Business Location
PO BOX 1915
473 RIDGECREST DRIVE
BETHEL AK, 99559-1915, US
Phone (907) 543-3232
Fax (907) 543-1443
Toxanomy
Taxonomy Code 177F00000X
License State Alaska
License Number 432920
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According to our database, Alice Shantz NPI is 1013137348, taxonomy code is 177F00000X and license number is 432920, license state is located at Alaska. Alice Shantz physically located at 473 Ridgecrest Drive, Bethel AK, 99559-1915. NPI Number 1033115704 has the healthcare provider type.

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1013137348 NPI number is provided on an as is basis without warranty of any kind. 1013137348 is maintained by the National Plan & Provider Enumeration System. The contents of Alice Shantz are for informational purposes only.