Individual
JOANNA NICHOLAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 ARMY WAY, TUNTUTULIAK, AK 99680-0107
(907) 256-2717
(907) 256-2129
Mailing address
PO BOX 8107, TUNTUTULIAK, AK 99680-0107
(907) 256-2717
(907) 256-2129
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/18/2013
Last updated
06/13/2016
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