Individual
DEZARAE D FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43335 K BEACH RD STE 36, SOLDOTNA, AK 99669-8280
(907) 953-9440
(907) 262-6294
Mailing address
43335 K BEACH RD STE 36, SOLDOTNA, AK 99669-8280
(907) 953-9440
(907) 262-6294
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Enumeration date
08/23/2024
Last updated
09/22/2025
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