Most Relevant Information
Provider Data
NPI Number: | 1003422510 |
Provider Name: | TAU VAAIA |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 09/20/2020 |
Last Updated: | 09/20/2020 |
Provider Practice Location
1709 BRAGAW ST
ANCHORAGE
AK
995083436
Practice Location Phone/Fax
Phone: | 9075625340 |
Fax: |
Provider Mailing Location
730 W 88TH AVE
ANCHORAGE
AK
995151568
Provider Mailing Phone/Fax
Phone: | |
Fax: |