Individual
MRS. TRACY MARIE RODDEN-LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 HALL ST, FAIRBANKS, AK 99701-4828
(907) 452-6434
(907) 451-6598
Mailing address
60 HALL ST, FAIRBANKS, AK 99701-4828
(907) 452-6434
(907) 451-6598
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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