Individual
NICHOL LEE COMTPON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 N MAIN ST, WASILLA, AK 99654-7017
(907) 232-3565
Mailing address
PO BOX 875032, WASILLA, AK 99687-5032
(907) 232-3565
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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