Individual
MISS LEN LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CHIEF EDDIE HOFFMAN HIGHWAY, BETHEL, AK 99559-0528
(907) 543-6000
(907) 543-3152
Mailing address
PO BOX 528, BETHEL, AK 99559-0528
(907) 543-6000
(907) 543-3152
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
N/A
—
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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