Individual
COSETTE MARIE NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SLOCUM DRIVE, KING COVE, AK 99612-9961
(907) 497-2311
(907) 497-2311
Mailing address
PO BOX 9, KING COVE, AK 99612-0009
(907) 497-2311
(907) 497-2310
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/05/2019
Last updated
07/05/2019
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