Individual
THERESA MARIE PAGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E DANNA AVE, WASILLA, AK 99654-6422
(907) 474-0890
(907) 474-3621
Mailing address
301 E DANNA AVE, WASILLA, AK 99654-6422
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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