Individual
TAMMIE DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
NORTH OF CHURCH 69, ELIM, AK 99739
(907) 890-3311
(907) 890-2280
Mailing address
NORTH OF CHURCH 69, ELIM, AK 99739
(907) 890-3311
(907) 890-2280
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHA II
CHA II
AK
Enumeration date
11/26/2014
Last updated
11/26/2014
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