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Individual

JOAN NASHOANAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
MAIN AIRPORT ROAD, STEBBINS, AK 99671
(907) 934-3311
(907) 934-3312
Mailing address
MAIN AIRPORT ROAD, STEBBINS, AK 99671
(907) 934-3311
(907) 934-3312

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
03-617-IV
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03-614-IV
CHA IV
AK
Enumeration date
03/26/2014
Last updated
03/26/2014
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