Individual
REBECCA RACENET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 S TIMBERLINE CIR, WASILLA, AK 99654-8750
(907) 521-1588
(888) 865-5534
Mailing address
PO BOX 879349, WASILLA, AK 99687-9349
(907) 521-1588
(888) 865-5534
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1683568
—
AK
Enumeration date
04/13/2018
Last updated
11/27/2023
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