Individual
WILLY RAISSA MAMTCHUENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 DEBARR CIR, ANCHORAGE, AK 99508-2984
(907) 865-7100
Mailing address
1500 DEBARR CIR, ANCHORAGE, AK 99508-2984
(907) 865-7100
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
NURR36254
AK
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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