Most Relevant Information
Provider Data
| NPI Number: | 1003395997 |
| Provider Name: | NELSON ALCEQUIEZ REYES |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/10/2018 |
| Last Updated: | 08/10/2018 |
Provider Practice Location
7521 BRAYTON DR
ANCHORAGE
AK
995072667
Practice Location Phone/Fax
| Phone: | 9079295826 |
| Fax: |
Provider Mailing Location
7521 BRAYTON DR
ANCHORAGE
AK
995072667
Provider Mailing Phone/Fax
| Phone: | 9079295826 |
| Fax: |