Individual
HAILLE WINISHUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
MILE 111 RICHARDSON HIGHWAY, GLENNALLEN, AK 99588
(907) 822-5241
(907) 822-8804
Mailing address
PO BOX 553, GLENNALLEN, AK 99588-0553
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
22507455
AK
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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