Individual
JULIETTE M TEREGEYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
122 1ST AVE STE 600, FAIRBANKS, AK 99701-4899
(907) 845-9380
(907) 459-3810
Mailing address
122 1ST AVE STE 600, FAIRBANKS, AK 99701-4899
(907) 845-9380
(907) 459-3810
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0
—
AK
Enumeration date
05/27/2020
Last updated
05/27/2020
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