Individual
MRS. YVETTE MARIE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 W INTL AIRPORT RD, ANCHORAGE, AK 99518-1105
(907) 564-7447
(907) 564-7429
Mailing address
1751 RIERIE DR, ANCHORAGE, AK 99507-1949
(907) 564-7447
(907) 564-7429
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM1799
—
AK
Enumeration date
05/24/2007
Last updated
07/09/2007
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