Individual
JULIA WALCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 KANAKANAK RD, DILLINGHAM, AK 99576-0130
(907) 842-9217
(907) 842-9250
Mailing address
PO BOX 130, DILLINGHAM, AK 99576-0130
(907) 842-9217
(907) 842-9250
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
13-1235-III
AK
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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