Individual
CYNTHIA FARRENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7407 N GROUSE LOOP, WASILLA, AK 99654-9046
(907) 376-2169
Mailing address
7407 N GROUSE LOOP, WASILLA, AK 99654-9046
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Enumeration date
11/10/2009
Last updated
11/10/2009
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