Individual
LUCY P ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHA-1
Contact information
Practice address
6000 KANAKANAK RD., TOGIAK CLINIC, DILLINGHAM, AK 99576-0130
(907) 493-5015
Mailing address
PO BOX 130, DILLINGHAM, AK 99576-0130
(907) 493-5015
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
17-119-BHAI
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-119-BHAI
STATE OF ALASK BHA BOARD
AK
Enumeration date
05/03/2018
Last updated
05/03/2018
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