Individual
AMANDA LESTENKOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1070 S RANDALL RD # 3, WASILLA, AK 99623-3203
(907) 892-3563
Mailing address
1070 S RANDALL RD #3, WASILLA, AK 99623
(907) 892-3563
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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