Individual
THEODORA HEIHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 GREG KRUSCHECK AVE., NOME, AK 99762-0966
(907) 433-9603
Mailing address
PO BOX 966, NOME, AK 99762-0966
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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