Individual
CAMILE HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8290 E MAGNIFICENT VIEW DR, PALMER, AK 99645-8194
(907) 390-0232
Mailing address
8290 E MAGNIFICENT VIEW DR, PALMER, AK 99645-8194
(907) 390-0232
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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