Individual
SHERILEE IVANOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
189 ANIKKAN CLINIC, UNALAKLEET, AK 99684
(907) 443-3344
Mailing address
PO BOX 966, NOME, AK 99762-0966
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/22/2022
Last updated
07/22/2022
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