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Cesa Agnes

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

NPI number1992204366
StatusActive
Last updated in NPPESFeb 12, 2018

Details

NPI
1992204366
Entity type
Individual (NPI-1)
Name
Cesa Agnes
Sex
Female
Sole proprietor
No
Enumeration date
Feb 12, 2018
Last updated
Feb 12, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

1717 W Cowles St
Fairbanks, AK 99701-5926

Phone 907-451-6682

Mailing address

Po Box 94429
Seattle, WA 98124-6729

Phone 907-451-6682

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