Individual
CAROL L HUIZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 W SWANSON AVE, WASILLA, AK 99654-6844
(907) 414-2448
Mailing address
1105 N WASILLA FISHHOOK RD, WASILLA, AK 99654-6432
(907) 414-2448
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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