Individual
LEVI BRENNON FOLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5851 E MAYFLOWER CT, WASILLA, AK 99654-7881
(907) 745-4920
Mailing address
1825 S CHUGACH ST, PALMER, AK 99645-6795
(907) 745-4920
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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