Alexandra Active

NPI #1164896775 in Bethel, Alaska

Provider Information

NPI Number
1164896775
Entity Type
Individual
Name
Alexandra Active
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Nov 19, 2015
Last Updated
Nov 19, 2015

Practice Location

Address
460 RIDGECREST DRIVE
Address 2
SUITE 215
City
Bethel
State
Alaska
ZIP Code
99559-0528
Phone
(907) 543-2762

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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