Individual
GISSELLE C DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4640 REKA DR APT E14, ANCHORAGE, AK 99508-3646
(907) 333-1999
Mailing address
PO BOX 200574, ANCHORAGE, AK 99520-0574
(907) 333-1999
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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