Individual
DAVID GROAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2650 N GARNET LN, WASILLA, AK 99654-3414
(907) 355-8677
Mailing address
2650 N GARNET LN, WASILLA, AK 99654-3414
(907) 355-8677
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/05/2019
Last updated
10/05/2019
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