Individual
CHRISTINE LOU ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 PACKERS CREEK ROAD, CHIGNIK LAGOON, AK 99565
(907) 840-2218
Mailing address
6000 KANAKANAK ROAD, DILLINGHAM, AK 99576
(907) 840-2218
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
18-1501-I
AK
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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