Individual
JESSICA DOCHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CARE COORDINATOR
Contact information
Practice address
4801 S TIMBERLINE CIR, WASILLA, AK 99654-8750
(907) 521-1588
(888) 865-5534
Mailing address
PO BOX 879349, WASILLA, AK 99687-9349
(907) 521-1588
(888) 865-5534
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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