Individual
DOLORES M MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHAII
Contact information
Practice address
40 MAIN STREET, NELSON LAGOON, AK 99571
(907) 989-2202
(907) 277-1436
Mailing address
3380 C STREET, SUITE 100, ANCHROAGE, AK 99503-3949
(907) 277-1440
(907) 277-1436
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
AK
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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