Individual
SAMANTHA FAY CLEMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3101 LATHROP ST, FAIRBANKS, AK 99701-7426
(907) 459-4999
Mailing address
3101 LATHROP ST, FAIRBANKS, AK 99701-7426
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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