Individual
TASHA GENTILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203A LIGHTHOUSE AVE, KODIAK, AK 99615-6856
(321) 704-3903
Mailing address
203A LIGHTHOUSE AVE, KODIAK, AK 99615-6856
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
—
—
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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