Individual
ROBIN MINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7750 W GOLDEN DR, WASILLA, AK 99623-9235
(907) 715-7284
(907) 376-7215
Mailing address
7750 W GOLDEN DR, WASILLA, AK 99623-9235
(907) 715-7284
(907) 376-7215
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
100933
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100933
ASSISGTED LIVING LICENSE
AK
Enumeration date
02/26/2020
Last updated
02/26/2020
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