Individual
SUNJIDMAA TIPPETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2949 E PALMDALE DR APT 1, WASILLA, AK 99654-6080
(801) 673-8574
Mailing address
2949 E PALMDALE DR APT 1, WASILLA, AK 99654-6080
(801) 673-8574
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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