Individual
JUAN SANMIGUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CC
Contact information
Practice address
555 W NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99503-2501
(907) 771-4010
(907) 771-4020
Mailing address
555 W NORTHERN LIGHTS BLVD, #234, ANCHORAGE, AK 99503-2501
(907) 771-4010
(907) 771-4020
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM8547
—
AK
Enumeration date
05/17/2007
Last updated
06/14/2012
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