MADALYN TICKNOR

Community Health Worker

Active Individual
NPI: 1689355794

Practice Address

1734 FALL RD
Fairbanks, AK 99709

Phone: (907) 371-4977

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X Yes -

Frequently Asked Questions

NPI 1689355794 is the National Provider Identifier for MADALYN TICKNOR, a Community Health Worker provider located in Fairbanks, AK. This NPI was enumerated on July 31, 2023.
MADALYN TICKNOR practices at 1734 FALL RD, Fairbanks, AK 99709.

Quick Facts

NPI
1689355794
Type
Individual
Enumerated
Jul 31, 2023
Last Updated
Jul 31, 2023

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