Individual
MARIE DORAINE ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 1ST AVE STE 118, FAIRBANKS, AK 99701-4848
(907) 452-8251
Mailing address
201 1ST AVE STE 118, FAIRBANKS, AK 99701-4848
(907) 452-8251
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
11/14/2024
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