Individual
TABITHA ALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
193 N SHORTHORN PL, PALMER, AK 99645-9532
(907) 707-6046
Mailing address
193 N SHORTHORN PL, PALMER, AK 99645-9532
(907) 707-6046
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
2191991
AK
Other
Enumeration date
02/09/2021
Last updated
03/05/2024
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