Individual
OPHELIA HICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 DNR ROAD, MCGRATH, AK 99627
(907) 524-3299
Mailing address
PO BOX 238, MC GRATH, AK 99627-0238
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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