Individual
MS. LIESEL WEILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5636 GLACIER HWY STE 100, JUNEAU, AK 99801-9508
(907) 586-6838
(907) 586-8114
Mailing address
5636 GLACIER HWY STE 100, JUNEAU, AK 99801-9508
(907) 586-6838
(907) 586-8114
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM4977
—
AK
Enumeration date
02/25/2008
Last updated
07/08/2008
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