Individual
LEAH BOHLARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 S SEWARD MERIDIAN PKWY STE A&B, WASILLA, AK 99654-8312
(907) 929-5826
Mailing address
1401 S SEWARD MERIDIAN PKWY STE A&B, WASILLA, AK 99654-8312
(907) 929-5826
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N.A
N.A
AK
Enumeration date
06/12/2020
Last updated
06/12/2020
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