Individual
CHARLES SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47202 PRINCETON AVE, SOLDOTNA, AK 99669-8242
(907) 561-5335
(907) 260-9435
Mailing address
47202 PRINCETON AVE, SOLDOTNA, AK 99669-8242
(907) 561-5335
(907) 260-9435
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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