Individual
MRS. JOANN WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3232 19TH AVE, FAIRBANKS, AK 99709-5042
(907) 479-5242
(907) 378-7175
Mailing address
3232 19TH AVE, FAIRBANKS, AK 99709-5042
(907) 479-5242
(907) 378-7175
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100493
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL7420
—
AK
Enumeration date
04/12/2007
Last updated
07/09/2007
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