Individual
RENA TONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
01 KUURARALRIA STREET, NIGHTMUTE, AK 99690-0011
(907) 647-6312
(907) 647-6014
Mailing address
01 KUURARALRIA STREET, PO BOX 90011, NIGHTMUTE, AK 99690-0011
(907) 647-6312
(907) 647-6014
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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