Individual
CARYN DIANE DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
291 NORTH FIREWEED, SOLDOTNA, AK 99669
(907) 262-6454
(907) 262-0832
Mailing address
3831 PIPER ST, STE S220, ANCHORAGE, AK 99508-4680
(907) 563-3145
(907) 561-3967
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
753
AK
363A00000X
Physician Assistant
PA-2663
CO
Other
Enumeration date
11/01/2006
Last updated
01/27/2016
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