MRS. Lottie V Tickett I

NPI #1528335007 in Shungnak, Alaska

Provider Information

NPI Number: 1528335007
Entity Type: Individual
Name: MRS. Lottie V Tickett I
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Nov 28, 2011
Last Updated: Nov 28, 2011

Practice Location

Address: 80 BACK STREET
City: Shungnak
State: Alaska
ZIP Code: 99773-0080
Phone: (907) 437-2138

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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