Individual
CARLEY ROSE MENDIOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
591 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8062
(190) 731-3456
Mailing address
591 S KNIK GOOSE BAY RD, WASILLA, AK 99654-8062
(907) 215-4925
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
07/07/2023
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