Individual
JOANNA G BACAREZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3700 PIPER ST, ANCHORAGE, AK 99508-4665
(907) 269-7269
Mailing address
3700 PIPER ST, ANCHORAGE, AK 99508-4665
(907) 269-7269
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
155436
AK
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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