Individual
MISS TASHA R BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 HOSPITAL ROAD, SAINT MARYS, AK 99658
(907) 438-3500
(907) 438-3540
Mailing address
PO BOX 310, SAINT MARYS, AK 99658-0310
(907) 438-3500
(907) 438-3540
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020986
—
AK
Enumeration date
04/11/2019
Last updated
04/11/2019
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