Individual
MISS KIMBERLY ANDREA ANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 1ST AVENUE, BEAVER, AK 99724
(907) 628-6228
Mailing address
100 FRONT ST., BEAVER, AK 99724
(907) 628-6228
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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