Leilani Carol Disselkoen

NPI #1245102417 in Wasilla, Alaska

Provider Information

NPI Number: 1245102417
Entity Type: Individual
Name: Leilani Carol Disselkoen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 18, 2025
Last Updated: Sep 18, 2025

Practice Location

Address: 7010 E BOGARD RD
City: Wasilla
State: Alaska
ZIP Code: 99654-4711
Phone: (907) 373-4732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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