Individual
AGATHA FLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
194 2ND STREET, TULUKSAK, AK 99679
(907) 695-6991
(907) 695-6627
Mailing address
194 2ND STREET, TULUKSAK, AK 99679
(907) 695-6991
(907) 695-6627
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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