Individual
ALEXANDRIA SARA MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4126A E COUNTRY FAIR DR, WASILLA, AK 99654-6663
(907) 841-6494
(907) 864-0330
Mailing address
4126A E COUNTRY FAIR DR, WASILLA, AK 99654-6663
(907) 841-6494
(907) 864-0330
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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