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Organization

STATE OF ALASKA

Active
Other names
Mat-Su Public Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
MS. VIOLA JEAN HAROSIA CNM (NURSE PRACTIONER)
(907) 352-6650
Entity
Organization

Contact information

Practice address
3223 PALMER WASILLA HWY, SUITE 3, WASILLA, AK 99654-7236
(907) 352-6600
(907) 376-3096
Mailing address
3223 PALMER WASILLA HWY, SUITE 3, WASILLA, AK 99654-7236
(907) 352-6600
(907) 376-3096

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
AK529
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NPO529PH0529
AK
Enumeration date
04/03/2007
Last updated
08/22/2020
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