Individual
TAMBRE L GUIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49 AIRPORT ROAD, HOOPER BAY, AK 99604
(907) 758-3500
Mailing address
PO BOX 414, HOOPER BAY, AK 99604-0414
(190) 758-3504
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
10-061
AK
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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