Individual
MARY MARIA SHILTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 CHURCH STREET, WRANGELL, AK 99929
(907) 874-2373
(908) 874-2576
Mailing address
PO BOX 1231, WRANGELL, AK 99929-1231
(907) 874-3375
(908) 874-3339
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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