| NPI | 1750052387 |
|---|---|
| Doing Business As | BENTEH NUUTAH FOUR DIRECTION |
| Entity Type | Organization |
| Authorized Contact | CRISTINA CAYANONG RANON-BACOD Supervisor 907-729-6799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2022-06-29 |