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Mariia Evstigneeva

Day Training/Habilitation Specialist in Wasilla, AK. Individual provider (NPI-1).

NPI number1164026563
StatusActive
Last updated in NPPESNov 25, 2020

Details

NPI
1164026563
Entity type
Individual (NPI-1)
Name
Mariia Evstigneeva
Sex
Female
Sole proprietor
No
Enumeration date
Nov 25, 2020
Certification date
Nov 25, 2020
Last updated
Nov 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
373H00000X Day Training/Habilitation Specialist––Yes

Other names

  • Mariia Grebennikova (Former Name)

Practice location

1401 S Seward Meridian Pkwy # Abc
Wasilla, AK 99654-8312

Phone 907-631-3520

Mailing address

1401 S Seward Meridian Pkwy # Abc
Wasilla, AK 99654-8312

Phone 907-631-3520

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