Individual
LUCY EVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHA-III
Contact information
Practice address
155 CLINIC ROAD, GOODNEWS BAY, AK 99589-0155
(907) 967-8128
(907) 967-8928
Mailing address
155 CLINIC ROAD, GOODNEWS BAY, AK 99589-0155
(907) 967-8128
(907) 967-8928
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
14-1306-III
AK
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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