Individual
SUSIE ALMA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MILE 111.5 RICHARDSON HIGHWAY, GLENNALLEN, AK 99588
(907) 822-5241
Mailing address
PO BOX 6059, MENTASTA LAKE, AK 99780-6059
(907) 291-2320
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
23-1724-I
AK
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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