Individual
MS. TINA RENEE HOPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3471 W WREN ST, WASILLA, AK 99623
(907) 841-1514
Mailing address
10367 FOREST LAKE DR., WASILLA, AK 99623-0658
(907) 841-1514
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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