Individual
MRS. GINA MAY DENIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
573 WILCOX AVE, FAIRBANKS, AK 99709-3626
(805) 588-7860
Mailing address
PO BOX 80971, FAIRBANKS, AK 99708-0971
(805) 588-7860
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPT86
AK
Other
Enumeration date
06/19/2015
Last updated
02/02/2021
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