Individual
LYNETTE L ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHA-I
Contact information
Practice address
1 SCOW JOHN ROAD, WT.MOUNTAIN, AK 99784-0029
(907) 638-3311
(907) 638-2007
Mailing address
P.O. BOX 29, WT.MOUNTAIN, AK 99784-0029
(907) 638-3311
(907) 638-2007
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHA-I
CHA-I
AS
Enumeration date
08/06/2019
Last updated
08/06/2019
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