KRISTOFFER ALLEN PORTUGALEZA AUZA

ANCHORAGE, AK
NPI1972112365
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: AK  160804)
Enumeration Date2020-07-30
Last Update Date2020-07-30
Business Address
KRISTOFFER ALLEN PORTUGALEZA AUZA RN
4330 ELMORE RD
ANCHORAGE, AK 99508-5907
Phone number: 907-729-6690
Mailing Address
KRISTOFFER ALLEN PORTUGALEZA AUZA RN
9300 ARLENE ST APT 215
ANCHORAGE, AK 99502-1623
Phone number: 907-360-0004