Individual
HOLLY JEAN HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
914 E REZANOF DR, LOWER LEVEL-UNIT BY W/D, KODIAK, AK 99615-6724
(907) 942-1284
Mailing address
1116 MISSION RD, KODIAK, AK 99615-6540
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMG225
—
AK
Enumeration date
02/10/2009
Last updated
04/05/2012
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