Most Relevant Information
Provider Data
NPI Number: | 1003549742 |
Provider Name: | ALEX TRENTON BELTZ PSS |
Entity Type: | Individual |
Taxonomy Code: | 175T00000X |
Specialty: | Peer Specialist |
License Number: | 4870 |
Most Important Dates
Enumeration Date: | 07/08/2022 |
Last Updated: | 07/08/2022 |
Provider Practice Location
26731 W POINT MACKENZIE RD
WASILLA
AK
996238709
Practice Location Phone/Fax
Phone: | 9073764534 |
Fax: | 9073762348 |
Provider Mailing Location
PO BOX 871545
WASILLA
AK
996871545
Provider Mailing Phone/Fax
Phone: | 9073764534 |
Fax: | 9073762348 |