| NPI | 1780065227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI DAVIS Administrator 907-229-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: AK NURR13740) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: AK DTND156) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |