Provider Demographics
NPI:1891592382
Name:MANULELEUA, ALESI
Entity type:Individual
Prefix:
First Name:ALESI
Middle Name:
Last Name:MANULELEUA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:ALESI
Other - Middle Name:
Other - Last Name:AHSOON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:301 E DANNA AVE
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-6422
Mailing Address - Country:US
Mailing Address - Phone:907-357-7519
Mailing Address - Fax:
Practice Address - Street 1:401 S WASILLA ST UNIT 37
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-8174
Practice Address - Country:US
Practice Address - Phone:808-221-2692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker