Individual
AMANDA VIOLET WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHP
Contact information
Practice address
204 BLUES AVE, HUGHES, AK 99745
(907) 889-2211
Mailing address
201 1ST AVE STE. 200, FAIRBANKS, AK 99701
(907) 452-8251
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
AK
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/24/2012
Last updated
10/30/2019
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