Individual
KANESHA HAILIE SCHMALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1521 S CUSHMAN ST, FAIRBANKS, AK 99701-6203
(907) 452-8251
Mailing address
1521 S CUSHMAN ST, FAIRBANKS, AK 99701-6203
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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