Individual
MRS. PAULINE ALEXANDRIA EGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 DNR RD, MC GRATH, AK 99627-0010
(907) 524-3299
(907) 524-3805
Mailing address
PO BOX 10, MC GRATH, AK 99627-0010
(907) 524-3299
(907) 524-3805
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
19-1564-I
AK
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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