Individual
NICOLE HOOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 S SEWARD MERIDIAN PKWY, SUITE A AND B, WASILLA, AK 99654-8312
(907) 631-3520
(907) 631-3634
Mailing address
1401 S SEWARD MERIDIAN PKWY, SUITE A AND B, WASILLA, AK 99654-8312
(907) 631-3520
(907) 631-3634
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
55-0897940
AK
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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