Individual
AARON WAYNE NASSUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4TH AVENUE, KOYUK, AK 99753
(907) 963-3311
(907) 963-3610
Mailing address
4TH AVENUE, KOYUK, AK 99753
(907) 963-3311
(907) 963-3610
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHA I
CHA I
AK
Enumeration date
11/26/2014
Last updated
11/26/2014
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