Organization
AK HIPPIE CHIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEE ANNE CRAFTON (OWNER/OPERATOR/ADMINISTRATOR)
(907) 690-4469
Entity
Organization
Contact information
Practice address
MILE 2 KALIFORNSKY BEACH ROAD, KASILOF, AK 99610-0392
(907) 690-4469
(907) 782-4145
Mailing address
PO BOX 392, KASILOF, AK 99610-0392
(907) 690-4469
(907) 782-4145
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1574944
AK
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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