Individual
JANA LYNN FOCOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 E MARYDALE AVE, SOLDOTNA, AK 99669-7648
(907) 260-5011
Mailing address
230 E MARYDALE AVE, SOLDOTNA, AK 99669-7648
(907) 260-5011
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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