Individual
HEATHER HANSCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47202 PRINCETON AVE, SOLDOTNA, AK 99669-8242
(907) 420-3613
Mailing address
47202 PRINCETON AVE, SOLDOTNA, AK 99669-8242
(907) 420-3613
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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