Individual
CATHERINE G WICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
103 FRAM STREET, PETERSBURG, AK 99833-0589
(907) 772-4291
(907) 772-3085
Mailing address
PO BOX 589, PETERSBURG, AK 99833-0589
(907) 772-4291
(907) 772-3085
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
23869
AK
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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