Individual
MS. JOHANNA DOMITILIA KORANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDM
Contact information
Practice address
800 GLACIER AVE, SUITE 100, JUNEAU, AK 99801-1845
(907) 463-2600
(907) 463-2675
Mailing address
800 GLACIER AVE, SUITE 100, JUNEAU, AK 99801-1845
(907) 463-2600
(907) 463-2675
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
45
AK
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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