Individual
TINA TENNILLE HUMMINGBIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 SAN JERONIMO DR, ANCHORAGE, AK 99508-2870
(907) 793-3600
Mailing address
3600 SAN JERONIMO DR, ANCHORAGE, AK 99508-2870
(907) 793-3600
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
AK
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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