Individual
JUANITA SCOTT-GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11415 AURORA ST, EAGLE RIVER, AK 99577-7416
(907) 726-0562
Mailing address
3705 ARCTIC BLVD # 1674, ANCHORAGE, AK 99503-5774
(907) 268-7122
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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