Simeon Fairbanks

NPI #1992076558 in Bethel, Alaska

Provider Information

NPI Number: 1992076558
Entity Type: Individual
Name: Simeon Fairbanks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Jan 13, 2012
Last Updated: Jan 13, 2012

Practice Location

Address: 829 CHIEF EDDIE HOFFMAN HIGHWAY
City: Bethel
State: Alaska
ZIP Code: 99559-0528
Phone: (907) 543-6160

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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