Individual
DEYONNE COFFEY-MILLIGROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 SCHOOL BLVD, STEBBINS, AK 99671-0050
(907) 934-3311
(907) 934-3312
Mailing address
P.O. BOX 50, STEBBINS, AK 99671-0050
(907) 934-3311
(907) 934-3312
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHA
CHA
AK
Enumeration date
04/14/2016
Last updated
04/14/2016
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