Individual
AMBER BONHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 MARIKA RD, FAIRBANKS, AK 99709-5521
(907) 474-0890
(907) 474-3621
Mailing address
727 MINERVA CT, NORTH POLE, AK 99705-5064
(907) 474-0890
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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