Organization
COPPER RIVER NATIVE ASSOCIATION
Active
Organization
COPPER RIVER NATIVE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKI R WIEDLUND (PATIENT FINANCIAL SERVICES MANAGER)
(907) 206-6812
Entity
Organization
Contact information
Practice address
111.5 RICHARDSON HWY, COPPER CENTER, AK 99573
(907) 206-6812
Mailing address
PO BOX 383, GLENNALLEN, AK 99588-0383
(907) 602-6812
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
09/26/2022
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