| NPI | 1336437961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARYN S GONZALES Owner/Practitioner 907-631-3684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AK 0858 Authorized ANP) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2015-01-06 |