Individual
RITA J BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C H P
Contact information
Practice address
1 SCOW JOHN RD, WHITE MOUNTAIN, AK 99784
(907) 638-2082
(907) 638-3961
Mailing address
1 SCOW JOHN RD, WHITE MOUNTAIN, AK 99784
(907) 638-2082
(907) 638-3961
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
98-107-P
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HEALTH AIDE
98-107-P
AK
Enumeration date
11/21/2011
Last updated
11/21/2011
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