Individual
SAMANTHA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 MAIN ST, AMBLER, AK 99786
(907) 442-3321
Mailing address
PO BOX 110, AMBLER, AK 99786-0110
(907) 442-3321
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
23-1726-I
AK
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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