Individual
WALLACE FIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COMMUNITY HEALTH AID
Contact information
Practice address
436 5TH TED STEVENS WAY, MANIILAQ HEALTH CENTER, KOTZEBUE, AK 99752-0043
(907) 442-3321
Mailing address
PO BOX 43, KOTZEBUE, AK 99752-0043
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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