Individual
PROVIDENCE FEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2330 NICHOLS ST, ANCHORAGE, AK 99508-3458
(907) 279-6617
(907) 274-0636
Mailing address
2330 NICHOLS ST, ANCHORAGE, AK 99508-3458
(907) 279-6617
(907) 274-0636
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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