Individual
MS. MATILDA BEHNKE-CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3830 S CUSHMAN ST, FAIRBANKS, AK 99701-7530
(907) 455-1575
Mailing address
304 12TH AVE, APT#4, FAIRBANKS, AK 99701-5012
(907) 374-0594
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
AK 6546
AK
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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