Individual
JESSICA MAE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
733 2ND AVENUE, KOTZEBUE, AK 99752
(907) 442-7640
(907) 442-7749
Mailing address
PO BOX 43, KOTZEBUE, AK 99752-0043
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
AK
Other
Enumeration date
07/29/2015
Last updated
10/01/2021
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