Individual
ANGELA NAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E DANNA AVE, WASILLA, AK 99654-6422
(907) 357-7569
Mailing address
3060 N. LAZY EIGHT CT., SUITE 2 PMB 381, WASILLA, AK 99654
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AK
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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