Individual
MRS. DIANA IVONNE AUMAVAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4320 E COBBLESTONE DR, WASILLA, AK 99654-7893
(907) 602-5274
Mailing address
4320 E COBBLESTONE DR, WASILLA, AK 99654-7893
(907) 602-5274
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
7249486
AK
Other
Enumeration date
12/05/2017
Last updated
03/17/2018
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