Individual
MOLLY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 1ST AVE, FAIRBANKS, AK 99701-4871
(907) 883-5185
Mailing address
PO BOX 398, TOK, AK 99780-0398
(907) 883-5185
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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