Individual
JUANITA C WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 E RUTH DR UNIT C, WASILLA, AK 99654-7546
(907) 795-8250
Mailing address
PO BOX 876618, WASILLA, AK 99687-6618
(907) 795-8250
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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