Individual
LISA WOITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-2411
Mailing address
3581 EDWARD DR, CRETE, IL 60417-1537
(708) 431-4086
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
199675
AK
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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