PETALOSO INC
Organization (NPI-2)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1982059952- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1867 AIRPORT WAY STE 110B, FAIRBANKS, AK, 997014054
- Phone
- (907) 978-7721
- Fax
- (907) 452-6330
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: AK #420