Individual
ROSELIE ANN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 7TH AVE, FAIRBANKS, AK 99701-5063
(907) 313-1333
Mailing address
357 E PARKS HWY, WASILLA, AK 99654-7005
(907) 313-1333
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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