Individual
MRS. ELIZABETH WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
613 S KNIK GOOSE BAY RD STE B, WASILLA, AK 99654-8090
(907) 631-3056
Mailing address
613 S KNIK GOOSE BAY RD STE B, WASILLA, AK 99654-8090
(907) 631-3056
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
AK
Other
Enumeration date
11/19/2019
Last updated
11/19/2019
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