SearchAlaska175L00000X

Hisako Ito, NCTMB/MPL

NPI 1689827842 · on the registry since 2008 · sole proprietor

Practice

Address
946 Cowles St Ste 101
Fairbanks, AK 99701
Phone
(907) 479-4263
Fax
(907) 457-2163

Registry record

Primary taxonomy
175L00000X
175L00000X
Licence states on file
AK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-10-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska