Individual
MS. LYNNETTE JO ANSELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1132 S CHUGACH ST, PALMER, AK 99645-6608
(907) 761-5027
Mailing address
PO BOX 3725, PALMER, AK 99645
(907) 414-9648
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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