Individual
JUSTIN L ULAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1360 CALISTA DRIVE, BETHEL, AK 99559-3333
(907) 538-9701
Mailing address
PO BOX 287, BETHEL, AK 99559-0287
(907) 543-6830
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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