Individual
JORDAN T FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
49 AIRPORT ROAD, KWETHLUK, AK 99621
(907) 757-6627
(907) 757-6626
Mailing address
49 AIRPORT ROAD, KWETHLUK, AK 99621
(907) 757-6627
(907) 757-6626
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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