NPI | 1366112856 |
---|---|
Doing Business As | HYDRATE ALASKA |
Entity Type | Organization |
Authorized Contact | NATHANIEL L EASTMAN Owner/Provider 907-980-1186 |
Organization Subpart ? | No |
Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
Enumeration Date | 2021-09-15 |
Last Update Date | 2023-03-07 |