Individual
ROSS NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 BOARDWALK WAY, NAPASKIAK, AK 99559-6044
(907) 737-7329
Mailing address
PO BOX 528, BETHEL, AK 99559-0528
(907) 543-6160
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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