Individual
GWENDOLYN EVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 MAIN WAY, KONGIGANAK, AK 99545
(907) 557-5127
Mailing address
PO BOX 5089, KONGIGANAK, AK 99545
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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