Individual
THERESA BOVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4811 BECHAROF ST, ANCHORAGE, AK 99507-1003
(907) 440-7780
Mailing address
4811 BECHAROF ST, ANCHORAGE, AK 99507-1003
(907) 440-7780
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
731120
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM4890
—
AK
Enumeration date
05/22/2007
Last updated
07/09/2007
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