SHANIA RAE STICKWAN

FAIRBANKS, AK
NPI1164207288
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2023-08-28
Last Update Date2023-08-28
Business Address
SHANIA RAE STICKWAN
3101 LATHROP ST
FAIRBANKS, AK 99701-7426
Phone number: 907-459-4700
Mailing Address
SHANIA RAE STICKWAN
3101 LATHROP ST
FAIRBANKS, AK 99701-7426
Phone number: 907-459-4700
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