Individual
ANDREA MICHELLE VEZINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 LATHROP ST, FAIRBANKS, AK 99701-7426
(907) 459-4700
Mailing address
1522 3RD AVE UNIT B, FAIRBANKS, AK 99701-4246
(907) 378-1860
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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