Individual
KRYSTIE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
74 RUBY ROAD, RUBY, AK 99768
(907) 468-4433
(907) 468-4411
Mailing address
74 RUBY ROAD, RUBY, AK 99768
(907) 468-4433
(907) 468-4411
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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