Individual
VIRGINIA N WODKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24572 W LUCKY SHOT TRAIL, WILLOW, AK 99688
(907) 495-6842
Mailing address
PO BOX 557, WILLOW, AK 99688-0557
(907) 495-6842
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
RL2570
AK
311Z00000X
Custodial Care Facility
Primary
RL2570
AK
Other
Enumeration date
04/09/2007
Last updated
09/11/2025
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