Individual
ELLEN ROSE COFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1897 TUNDRA WAY, NOORVIK, AK 99763-0189
(907) 636-2103
Mailing address
1897 TUNDRA WAY, NOORVIK, AK 99763
(907) 636-2103
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/29/2018
Last updated
06/23/2020
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