SHANNON STREET

Community Health Worker

Active Individual
NPI: 1033692793

Practice Address

101 AIRPORT ROAD
Toksook Bay, AK 99637

Phone: (907) 427-3500

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X Yes -

Frequently Asked Questions

NPI 1033692793 is the National Provider Identifier for SHANNON STREET, a Community Health Worker provider located in Toksook Bay, AK. This NPI was enumerated on September 10, 2018.
SHANNON STREET practices at 101 AIRPORT ROAD, Toksook Bay, AK 99637.

Quick Facts

NPI
1033692793
Type
Individual
Enumerated
Sep 10, 2018
Last Updated
Jan 4, 2021

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