Individual
MARY LORRAINE HINGSBERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 MAIN STREET, SELAWIK, AK 99770-0180
(907) 484-2199
(907) 484-2119
Mailing address
180 MAIN STREET, SELAWIK, AK 99770-0180
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
10-1059-IV
AK
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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