Individual
LYDIA DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHP
Contact information
Practice address
EASTON RD. # 303, TETLIN, AK 99776
(907) 324-2151
Mailing address
PO BOX 339, TOK, AK 99780
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
06-770-P
AK
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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