Thomas Jackon, COMMUNITY HEALTHAIDE

NPI #1104275189 in Kotzebue, Alaska

Provider Information

NPI Number
1104275189
Entity Type
Individual
Name
Thomas Jackon, COMMUNITY HEALTHAIDE
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Health Worker
Credential
COMMUNITY HEALTHAIDE
Enumeration Date
Jun 9, 2016
Last Updated
Jun 9, 2016

Practice Location

Address
436 5TH TED STEVENS WAY
Address 2
MANIILAQ HEALTH CENTER
State
Alaska
ZIP Code
99752
Phone
(907) 442-7162

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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