Duane W Wise Valid NPI

Individual provider · Home Modifications Contractor · Anchorage, AK

NPI

1245369594

Type

Individual (Type 1)

Primary specialty

Home Modifications Contractor (Contractor)

Specialty group

Other Service Providers

Taxonomy code

171WH0202X

License number

29725 (AK)

Sex

Male

Sole proprietor

No

Enumerated

2007-03-04

Last updated

2007-07-09