Ethan Hart

NPI #1003706581 in Fairbanks, Alaska

Provider Information

NPI Number
1003706581
Entity Type
Individual
Name
Ethan Hart
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Community Health Worker
Enumeration Date
Jul 7, 2025
Last Updated
Jul 7, 2025

Practice Location

Address
209 FORTY MILE AVE
State
Alaska
ZIP Code
99701-3110
Phone
(907) 456-6445

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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