Nichol Lee Comtpon

NPI #1912567454 in Wasilla, Alaska

Provider Information

NPI Number: 1912567454
Entity Type: Individual
Name: Nichol Lee Comtpon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jun 17, 2019
Last Updated: Jun 17, 2019

Practice Location

Address: 300 N MAIN ST
City: Wasilla
State: Alaska
ZIP Code: 99654-7017
Phone: (907) 232-3565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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