Glen A Fazakerley, CDCI

NPI #1306142781 in Ketchikan, Alaska

Provider Information

NPI Number
1306142781
Entity Type
Individual
Name
Glen A Fazakerley, CDCI
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Credential
CDCI
Enumeration Date
Feb 2, 2011
Last Updated
Jul 12, 2011

Practice Location

Address
201 DEERMOUNT ST
State
Alaska
ZIP Code
99901-6649
Phone
(907) 225-7825

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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