Individual
HOLLY REYNOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14232 SNOWDRIFT WAY, ANCHORAGE, AK 99515-4165
(907) 382-3164
Mailing address
14232 SNOWDRIFT WAY, ANCHORAGE, AK 99515-4165
(907) 382-3164
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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