Individual
MRS. MAIMUNA MARTHA HOLNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CARE COORDINATOR
Contact information
Practice address
3801 BOEK CIR, ANCHORAGE, AK 99507-3059
(907) 339-1589
Mailing address
PO BOX 110004, ANCHORAGE, AK 99511-0004
(907) 830-0686
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
952509
AK
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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