IDA SHANNON CHARLIE

BETHEL, AK
NPI1023222783
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2007-05-10
Last Update Date2022-07-21
Business Address
IDA SHANNON CHARLIE
829 CHIEF EDDIE HOFFMAN HWY SUITE 150
BETHEL, AK 99559
Phone number: 907-543-6100
Mailing Address
IDA SHANNON CHARLIE
P.O. BOX 528 ATTN: BH VILLAGE SERVICES
BETHEL, AK 99559
Phone number: 907-543-6100