Individual
BOBBIE SUE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHAP
Contact information
Practice address
436 5TH TED STEVENS WAY, KOTZEBUE, AK 99752
(907) 442-3321
Mailing address
PO BOX 43, KOTZEBUE, AK 99752-0043
(907) 442-3321
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
172V00000X
AK
Other
Enumeration date
10/05/2015
Last updated
07/10/2018
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