Individual
MIRANDA DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 EKLUTNA ST UNIT B, ANCHORAGE, AK 99504-2141
(907) 332-0065
(907) 782-4522
Mailing address
404 EKLUTNA ST UNIT B, ANCHORAGE, AK 99504-2141
(907) 332-0065
(907) 782-4522
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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