Individual
MRS. IRENE AGNES PIPKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30612 PEANUTS CT, SOLDOTNA, AK 99669-9132
(907) 262-0423
(907) 260-3383
Mailing address
30612 PEANUTS CT, SOLDOTNA, AK 99669-9132
(907) 262-0423
(907) 260-3383
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1636563
—
AK
Enumeration date
12/05/2012
Last updated
05/05/2016
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