Provider Demographics
NPI:1508185331
Name:PRESTON, AURORA GARCIA (CNA/PCA)
Entity Type:Individual
Prefix:
First Name:AURORA
Middle Name:GARCIA
Last Name:PRESTON
Suffix:
Gender:F
Credentials:CNA/PCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6133 E 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-2320
Mailing Address - Country:US
Mailing Address - Phone:907-229-3717
Mailing Address - Fax:907-245-4362
Practice Address - Street 1:6133 E 12TH AVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-2320
Practice Address - Country:US
Practice Address - Phone:907-229-3717
Practice Address - Fax:907-245-4362
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-18
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility