Individual
AMY J WASSILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 KANAKANAK RD, MEDICAL STAFF DEPARTMENT, DILLINGHAM, AK 99576-0130
(907) 842-9217
(907) 842-9250
Mailing address
P.O. BOX 130, MEDICAL STAFF OFFICE, DILLINGHAM, AK 99576-0130
(907) 842-9217
(907) 842-9250
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
07-935-P
AK
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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