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HISAKO ITO NCTMB/MPL
>> Homeopath >> Other Service ProvidersRegistrant NPI Number: 1689827842
Individual Registrant: HISAKO ITO NCTMB/MPL
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
946 COWLES ST STE 101 FAIRBANKS, AK 99701-4381 US
Tel: 907-479-4263 Fax: 907-457-2163
Tel: 907-479-4263 Fax: 907-457-2163
Contact information for business:
946 COWLES ST STE 101 FAIRBANKS, AK 99701-4381 US
Tel: 907-479-4263 Fax: 907-457-2163
Tel: 907-479-4263 Fax: 907-457-2163
Registration Information:
NPI: 1689827842
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 175L00000X | Other Service Providers Homeopath | AK | 2008-1002 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
