Individual
AMANDA WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CHURCH ROAD 1, LOWER KALSKAG, AK 99626
(907) 471-2347
(907) 471-2258
Mailing address
870 CHIEF EDDIE HOFFMAN HIGHWAY, BETHEL, AK 99559-0528
(907) 543-6160
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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