Individual
DOMINIK ROBERT MCANLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16941 N EAGLE RIVER LOOP RD, EAGLE RIVER, AK 99577-7824
(907) 206-4421
Mailing address
16941 N EAGLE RIVER LOOP RD, EAGLE RIVER, AK 99577-7824
(907) 206-4421
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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