GENIE PROVO

Peer Specialist

Active Individual
NPI: 1689462640

Practice Address

11921 E PALMER WASILLA HWY
Palmer, AK 99645

Phone: (907) 745-2634

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1689462640 is the National Provider Identifier for GENIE PROVO, a Peer Specialist provider located in Palmer, AK. This NPI was enumerated on April 29, 2025.
GENIE PROVO practices at 11921 E PALMER WASILLA HWY, Palmer, AK 99645.

Quick Facts

NPI
1689462640
Type
Individual
Enumerated
Apr 29, 2025
Last Updated
Apr 29, 2025

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