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TIFFANY WORKMAN

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1760916415

Individual Registrant:
 TIFFANY  WORKMAN 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
101 MAIN STREET  SHAGELUK, AK 99665 US
Tel: 907-473-8231  Fax: 907-473-8213

Contact information for business:
101 MAIN STREET  SHAGELUK, AK 99665 US
Tel: 907-473-8231  Fax: 907-473-8213

Registration Information:
NPI: 1760916415
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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