Individual
TABITHA HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 KANAKANAK RD, DILLINGHAM, AK 99576
(907) 797-2212
(907) 797-2227
Mailing address
PO BOX 416, PILOT POINT, AK 99649-0416
(907) 797-2212
(907) 797-2227
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
AK
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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