Individual
GWENDOLYN NAYOKPUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHA III
Contact information
Practice address
123 OCEANVIEW, BOX 133, SHISHMAREF, AK 99772-0133
(907) 649-3311
(907) 649-2083
Mailing address
123 OCEANVIEW, BOX 133, SHISHMAREF, AK 99772-0133
(907) 649-3311
(907) 649-2083
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
07-902-III
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHA III
07-902-III
AK
Enumeration date
11/02/2011
Last updated
11/02/2011
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