Individual
MARILYN N. GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CC
Contact information
Practice address
4160 TUDOR CENTRE DR, ANCHORAGE, AK 99508-5901
(907) 729-3171
(907) 729-6366
Mailing address
4160 TUDOR CENTRE, ANCHORAGE, AK 99508-5904
(907) 729-3171
(907) 729-6366
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM9200
—
AK
Enumeration date
04/06/2007
Last updated
08/15/2013
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