Individual
DESIREE FERINGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6640 S CALISTA DRIVE, WASILLA, AK 99623
(907) 232-5546
Mailing address
PO BOX 879422, WASILLA, AK 99687-9422
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
UNKNOWN
—
AK
Enumeration date
04/30/2019
Last updated
04/30/2019
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