FANNIE MARIE SMITH

DILLINGHAM, AK
NPI1679919450
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: AK  11-1143-III)
Enumeration Date2013-05-20
Last Update Date2013-05-20
Business Address
-- FANNIE MARIE SMITH
6000 KANAKANAK RD
DILLINGHAM, AK 99576-0130
Phone number: 907-842-9217
Mailing Address
-- FANNIE MARIE SMITH
PO BOX 130
DILLINGHAM, AK 99576-0130
Phone number: 907-842-9217
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