Individual
MRS. ELICIA DAWN TURNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1363 W SPRUCE AVE, WASILLA, AK 99654-5327
(907) 521-2837
Mailing address
1066 W WINTER AVE, WASILLA, AK 99654-6326
(907) 521-7073
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7093182
DRIVER'S LISCENSE
AK
Enumeration date
11/16/2022
Last updated
11/16/2022
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