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RITA J BUCK C H P

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1275800153

Individual Registrant:
 RITA J BUCK C H P
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1 SCOW JOHN RD  WHITE MOUNTAIN, AK 99784 US
Tel: 907-638-2082  Fax: 907-638-3961

Contact information for business:
1 SCOW JOHN RD  WHITE MOUNTAIN, AK 99784 US
Tel: 907-638-2082  Fax: 907-638-3961

Registration Information:
NPI: 1275800153
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker
AK98-107-P

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
98-107-PHEALTH AIDEAK01




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