Individual
JESSICA MCGINTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHA-IV
Contact information
Practice address
32 SECOND ST, KALTAG, AK 99748
(907) 534-2209
Mailing address
32 SECOND ST, KALTAG, AK 99748
(907) 534-2209
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
10-1088-IV
WA
Other
Enumeration date
01/24/2012
Last updated
12/10/2018
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