Individual
MRS. TINA M. SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 S CENTURY CIR, WASILLA, AK 99654-8520
(907) 376-3104
(907) 373-2878
Mailing address
1301 S CENTURY CIR, WASILLA, AK 99654-8520
(907) 376-3104
(907) 373-2878
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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