Individual
VANESSA GITTLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S BEGICH DR, WASILLA, AK 99654-7619
(907) 414-8995
Mailing address
301 S BEGICH DR, WASILLA, AK 99654-7619
(907) 414-8995
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
6170
AK
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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