Individual
MADISON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 KANAKANAK RD., DILLINGHAM, AK 99576
(907) 512-7107
Mailing address
PO BOX 33, CHIGNIK, AK 99564-0033
(907) 512-7107
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
16-1396-III
AK
Other
Enumeration date
01/10/2017
Last updated
06/28/2022
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