Individual
PAULINE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 FRONT STREET, SCAMMON BAY, AK 99662-0150
(907) 758-4711
(907) 758-3540
Mailing address
128 FRONT STREET, SCAMMON BAY, AK 99662-0150
(907) 558-5511
(907) 558-5705
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
01/03/2022
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