Individual
DONNELL ISAIAH DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4441 DIPLOMACY DR # 500, ANCHORAGE, AK 99508-5910
(907) 729-8640
(907) 729-8723
Mailing address
4441 DIPLOMACY DR # 500, ANCHORAGE, AK 99508-5910
(907) 729-8640
(907) 729-8723
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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