Individual
MS. DIANNA E BORDELON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2645 LEE ST, ANCHORAGE, AK 99504-3123
(907) 332-1350
(907) 332-1350
Mailing address
2645 LEE ST, ANCHORAGE, AK 99504-3123
(907) 332-1350
(907) 332-1350
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM0075
—
AK
Enumeration date
09/03/2009
Last updated
08/07/2013
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