Individual
MIKALA RENE NANALOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2ND STREET MANOKOTAK CLINIC, MANOKOTAK, AK 99628-0129
(907) 289-1077
(907) 289-2014
Mailing address
PO BOX 129, MANOKOTAK, AK 99628-0129
(907) 289-1077
(907) 289-2014
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
24-1735--II
AK
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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