Provider Demographics
NPI:1528220449
Name:VLADI, GALINA (LA)
Entity Type:Individual
Prefix:
First Name:GALINA
Middle Name:
Last Name:VLADI
Suffix:
Gender:F
Credentials:LA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4316 KINGSTON DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-4445
Mailing Address - Country:US
Mailing Address - Phone:907-337-6770
Mailing Address - Fax:907-338-6031
Practice Address - Street 1:4316 KINGSTON DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-4445
Practice Address - Country:US
Practice Address - Phone:907-337-6770
Practice Address - Fax:907-338-6031
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK82171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist