Individual
BETSY BEKOALOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 W 5TH AVE, NOME, AK 99762
(907) 443-4553
(907) 443-7983
Mailing address
306 W 5TH AVE, NOME, AK 99762-0966
(907) 443-4553
(907) 443-7983
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373H00000X
—
AK
Enumeration date
02/06/2008
Last updated
02/06/2008
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