GLEN FAZAKERLEY, CDCI

Case Manager/Care Coordinator

Active Individual
NPI: 1306142781

Practice Address

201 DEERMOUNT ST
Ketchikan, AK 99901

Phone: (907) 225-7825

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1306142781 is the National Provider Identifier for GLEN FAZAKERLEY, CDCI, a Case Manager/Care Coordinator provider located in Ketchikan, AK. This NPI was enumerated on February 2, 2011.
GLEN FAZAKERLEY, CDCI practices at 201 DEERMOUNT ST, Ketchikan, AK 99901.

Quick Facts

NPI
1306142781
Type
Individual
Enumerated
Feb 2, 2011
Last Updated
Jul 12, 2011

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