Individual
MARISSA KAYE OXEREOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 SNOWBANK RD, WALES, AK 99783
(907) 664-3311
(907) 664-3471
Mailing address
530 SNOWBANK RD, WALES, AK 99783
(907) 664-3311
(907) 664-3471
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHA III
CHA III
AK
Enumeration date
12/03/2014
Last updated
12/03/2014
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