Individual
BOBBY LASALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1327 KALAKAKET ST, FAIRBANKS, AK 99709-4917
(907) 452-4517
Mailing address
1327 KALAKAKET ST, FAIRBANKS, AK 99709-4917
(907) 452-4517
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
44
AK
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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