AUDREY EILEEN SMALL

KETCHIKAN, AK
NPI1164630042
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: AK  524)
Enumeration Date2007-05-21
Last Update Date2007-07-09
Business Address
-- AUDREY EILEEN SMALL CNM
355 CARLANNA LAKE RD LOWR
KETCHIKAN, AK 99901-5614
Phone number: 907-225-1231
Mailing Address
-- AUDREY EILEEN SMALL CNM
PO BOX 5098
KETCHIKAN, AK 99901-0033
Phone number: 907-225-1231
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