Individual
LAWANDA BLAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 BRAGAW ST, ANCHORAGE, AK 99508-3436
(907) 562-5340
Mailing address
260 FALL LEAF CIR, ANCHORAGE, AK 99504-1590
(907) 764-4119
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
AK
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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