Most Relevant Information
Provider Data
| NPI Number: | 1003464231 |
| Provider Name: | SKYLAR MADEL |
| Entity Type: | Individual |
| Taxonomy Code: | 373H00000X |
| Specialty: | Day Training/Habilitation Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/30/2019 |
| Last Updated: | 08/30/2019 |
Provider Practice Location
1401 S SEWARD MERIDIAN PKWY
WASILLA
AK
996548312
Practice Location Phone/Fax
| Phone: | 9076313520 |
| Fax: |
Provider Mailing Location
1401 S SEWARD MERIDIAN PKWY
WASILLA
AK
996548312
Provider Mailing Phone/Fax
| Phone: | 9076313520 |
| Fax: |