Individual
MRS. MARTA ROSA CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
3830 S CUSHMAN ST, FAIRBANKS, AK 99701-7530
(907) 455-1416
(907) 455-1487
Mailing address
4750 VILLANOVA DR, FAIRBANKS, AK 99709-3219
(907) 479-6590
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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