Most Relevant Information
Provider Data
| NPI Number: | 1003471764 |
| Provider Name: | DONA MAE KING |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/07/2019 |
| Last Updated: | 05/07/2019 |
Provider Practice Location
4130 SAN ERNESTO AVE
ANCHORAGE
AK
995082875
Practice Location Phone/Fax
| Phone: | 9077295070 |
| Fax: |
Provider Mailing Location
4130 SAN ERNESTO AVE
ANCHORAGE
AK
995082875
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |