Individual
HOLLY EILEEN DALLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1431 GILLAM WAY, FAIRBANKS, AK 99701-6043
(907) 322-1112
(907) 600-0265
Mailing address
PO BOX 61046, FAIRBANKS, AK 99706-1046
(907) 322-1112
(907) 600-0265
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
11/25/2021
Last updated
11/08/2024
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