Individual
STEPHANIE K KUZUGUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHA IV
Contact information
Practice address
133 LAGOON STREET, SHISHMAREF, AK 99772-0133
(907) 649-3311
(907) 649-2083
Mailing address
P.O. BOX 133, SHISHMAREF, AK 99772-0133
(907) 649-3311
(907) 649-2083
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
09-1019-IV
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09-1019-IV
CHA IV
AK
Enumeration date
11/23/2011
Last updated
11/23/2011
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