Individual
NANCY MATTIE KOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1132 S CHUGACH ST, PALMER, AK 99645-6608
(907) 745-5454
(907) 745-5489
Mailing address
1632 N TRAIL CIR, WASILLA, AK 99654-5456
(907) 357-2253
(907) 745-5489
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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