Individual
MRS. TIA KATCHEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHA III
Contact information
Practice address
50 AIRPORT ROAD, STEBBINS, AK 99671-0500
(907) 934-3311
(907) 934-3312
Mailing address
50 AIRPORT ROAD, STEBBINS, AK 99671-0500
(907) 934-3311
(907) 934-3312
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
12-1167-III
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12-1167-III
CHA III
AK
Enumeration date
03/28/2012
Last updated
03/28/2012
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