Most Relevant Information
Provider Data
| NPI Number: | 1003426776 |
| Provider Name: | CYNTHIA ROSE AGNES |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/06/2020 |
| Last Updated: | 08/06/2020 |
Provider Practice Location
41 SIS ST
NULATO
AK
997650056
Practice Location Phone/Fax
| Phone: | 9074528251 |
| Fax: |
Provider Mailing Location
PO BOX 65056
NULATO
AK
997650056
Provider Mailing Phone/Fax
| Phone: | 9074528251 |
| Fax: |