Individual
MS. CARRIE CARL ENOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CHEIF EDDIE HOFFMAN HIGHWAY, BETHEL, AK 99559
(907) 543-6300
(907) 543-6366
Mailing address
PO BOX 2493, BETHEL, AK 99559-2493
(907) 543-6000
(907) 543-6618
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CCE87617
YKHC BILLING NUMBER
AK
Enumeration date
06/08/2007
Last updated
07/08/2007
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