Randall Eric Wilson
Case Manager/Care Coordinator in Anchorage, AK. Individual provider (NPI-1).
NPI number1649907643
StatusActive
Last updated in NPPESAug 1, 2022
Details
- NPI
- 1649907643
- Entity type
- Individual (NPI-1)
- Name
- Randall Eric Wilson
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2022
- Certification date
- Aug 1, 2022
- Last updated
- Aug 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
1231 Gambell St Ste 300Anchorage, AK 99501-4664
Phone 907-333-4343 · Fax 907-333-4383
Mailing address
1231 Gambell St Ste 300Anchorage, AK 99501-4664
Phone 907-333-4343 · Fax 907-333-4383
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