Individual
WENDY S PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 E JIM COTTRELL, WASILLA, AK 99645
(907) 244-7358
Mailing address
PO BOX 875518, WASILLA, AK 99687-5518
(907) 244-7358
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AK
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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