Individual
SOPHIA PETLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 WALLACE STREET, NEW STUYAHOK, AK 99636
(907) 693-3131
(907) 693-3293
Mailing address
109 WALLACE STREET, NEW STUYAHOK, AK 99636
(907) 693-3131
(907) 693-3293
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
AK
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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