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Individual

ISAAC RIVERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
128 FRONT STREET, SCAMMON BAY, AK 99662
(907) 558-5511
(907) 558-5705
Mailing address
128 FRONT STREET, SCAMMON BAY, AK 99662
(907) 558-5511
(907) 558-5705

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
01/13/2012
Last updated
06/03/2020
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