Individual
DIANE MARIE BOYER-WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11269 WASEY WAY, HOUSTON, AK 99694
(907) 892-0794
(907) 892-0794
Mailing address
PO BOX 520983, BIG LAKE, AK 99652-0983
(907) 892-0794
(907) 892-0794
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100388
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RL2365
—
AK
Enumeration date
10/09/2013
Last updated
10/09/2013
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