Individual
HEATHER VEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3039 DAVIS RD, FAIRBANKS, AK 99709-5234
(907) 452-3600
Mailing address
PO BOX 74788, FAIRBANKS, AK 99707-4788
(907) 687-1638
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
104670
AK
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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