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Zowie Starlight Canul

Community Health Worker in Fairbanks, AK. Individual provider (NPI-1).

NPI number1982467171
StatusActive
Last updated in NPPESFeb 1, 2024

Details

NPI
1982467171
Entity type
Individual (NPI-1)
Name
Mrs. Zowie Starlight Canul
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 1, 2024
Certification date
Feb 1, 2024
Last updated
Feb 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Other names

  • Zowie Starlight Shepherd (Former Name)

Practice location

3101 Lathrop St
Fairbanks, AK 99701-7426

Phone 907-474-0890 · Fax 907-474-3621

Mailing address

1825 Marika Rd
Fairbanks, AK 99709-5521

Phone 907-474-0890 · Fax 907-474-3621

Other practice locations

1825 Marika Rd
Fairbanks, AK 99709-5521

Phone 907-474-0890 · Fax 907-474-3621

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