Individual
ALEXANDRA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 AIRPORT RD, KWETHLUK, AK 99621-0069
(907) 757-6627
(907) 757-6626
Mailing address
PO BOX 69, KWETHLUK, AK 99621-0069
(907) 757-6627
(907) 757-6626
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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