Individual
MARY THERESA THIBEAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BETHEL PUBLIC HEALTH CENTER, 1490 EDDIE HOFFMAN HIGHWAY, BETHEL, AK 99559
(907) 543-0442
(907) 543-0436
Mailing address
1490 EDDIE HOFFMAN STATE HIGHWAY, PO BOX 1048, BETHEL, AK 99559-1048
(907) 543-0442
(907) 543-0436
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NURR35276
AK
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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