Individual
NIKKITTA ROSE ANGELIKA SMOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHA III
Contact information
Practice address
201 1ST AVE,, STE 300 COMMUNITY HEALTH AIDE, FAIRBANKS, AK 99701
(907) 452-8251
(907) 459-3978
Mailing address
201 1ST AVE,, STE 300 COMMUNITY HEALTH AIDE PROGRAM, FAIRBANKS, AK 99701
(907) 452-8251
(907) 459-3978
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/05/2011
Last updated
01/24/2018
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