Individual
IVETTE HOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1623 MILL BAY RD, SUITE100, KODIAK, AK 99615-6235
(907) 486-5011
Mailing address
PO BOX 3745, KODIAK, AK 99615-3745
(907) 486-8322
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM8260
—
AK
Enumeration date
05/29/2007
Last updated
07/09/2007
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