Most Relevant Information
Provider Data
| NPI Number: | 1003513953 |
| Provider Name: | MANIKA RALPH |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/10/2023 |
| Last Updated: | 04/12/2024 |
Provider Practice Location
290 S SNODGRASS DR
WASILLA
AK
996548062
Practice Location Phone/Fax
| Phone: | 9075215280 |
| Fax: |
Provider Mailing Location
290 S SNODGRASS DR
WASILLA
AK
996548062
Provider Mailing Phone/Fax
| Phone: | 9075215280 |
| Fax: |