Henrietta B Ivanoff, CHP
NPI #1063780393 in Unalakleet, Alaska
Provider Information
- NPI Number
- 1063780393
- Entity Type
- Individual
- Name
- Henrietta B Ivanoff, CHP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Credential
- CHP
- Enumeration Date
- Dec 1, 2011
- Last Updated
- Dec 1, 2011
Practice Location
- Address
- AIRPORT ROAD
- City
- Unalakleet
- State
- Alaska
- ZIP Code
- 99684-0189
- Phone
- (907) 624-3535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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