Alice Shantz

NPI #1013137348 in Bethel, Alaska

Provider Information

NPI Number: 1013137348
Entity Type: Organization
Organization Name: Alice Shantz
Primary Specialty: Lodging
Enumeration Date: Apr 27, 2007
Last Updated: Sep 20, 2007

Practice Location

Address: 473 RIDGECREST DRIVE
Address 2: BOX 1915
City: Bethel
State: Alaska
ZIP Code: 99559-1915
Phone: (907) 543-3232

Authorized Official

Name: ALICE S SHANTZ
Title: OWNER
Phone: (907) 543-3232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Lodging	177F00000X	Primary

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