Individual
JUSTINA PHILLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CLINIC LANE, ST. GEORGE, AK 99591
(907) 859-2254
(907) 859-2252
Mailing address
1131 E INTERNATIONAL AIRPORT RD, ANCHORAGE, AK 99518-1408
(907) 222-4205
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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