State of Alaska

NPI #1205958287 in Wasilla, Alaska

Provider Information

NPI Number
1205958287
Entity Type
Organization
Organization Name
State of Alaska
Primary Specialty
Public Health or Welfare
Enumeration Date
Apr 3, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
3223 PALMER WASILLA HWY
Address 2
SUITE 3
State
Alaska
ZIP Code
99654-7236
Phone
(907) 352-6600

Authorized Official

Name
MS. VIOLA JEAN HAROSIA, CNM
Title
NURSE PRACTIONER
Phone
(907) 352-6650

Specialties & Taxonomy Codes

Specialty
Public Health or Welfare

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