Individual
MRS. SHERRY L SAXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E SWANSON AVE, SUITE #5, WASILLA, AK 99654-7197
(907) 373-1000
(888) 588-5194
Mailing address
14149 W TIDAL WAY APT 1, WASILLA, AK 99623-0508
(907) 373-1000
(888) 588-5194
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CC NEW
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NEW CC
—
AK
Enumeration date
12/19/2016
Last updated
12/19/2016
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