Individual
DELLA R LUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHA IV
Contact information
Practice address
90 AAKSAIK, NOATAK, AK 99761
(907) 485-2161
Mailing address
90 AAKSAIK, BOX 90, NOATAK, AK 99761
(907) 485-2161
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
00-445-4
AK
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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