| Ace | |
|
865 N Seward Meridian Pkwy Suite 204 Wasilla AK 99654-7241 | |
| (907) 373-1083 | |
| Not Available |
| Full Name | Ace |
|---|---|
| Speciality | Counselor - Professional |
| Location | 865 N Seward Meridian Pkwy, Wasilla, Alaska |
| Authorized Official Name and Position | Thomas Allen Lytle (PRESIDENT) |
| Authorized Official Contact | 9073731083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ace 865 N Seward Meridian Pkwy Suite 204 Wasilla AK 99654-7241 Ph: (907) 373-1083 | Ace 865 N Seward Meridian Pkwy Suite 204 Wasilla AK 99654-7241 Ph: (907) 373-1083 |
| NPI Number | 1225341969 |
|---|---|
| Provider Enumeration Date | 07/23/2010 |
| Last Update Date | 07/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225341969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 330 (Alaska) | Primary |
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