Individual
CHRYSTAL MARIE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHA IV
Contact information
Practice address
100 PUMPHOUSE ROAD, TYONEK, AK 99682
(907) 583-2461
(907) 583-2155
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-6799
(907) 729-5180
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
16-1387-IV
AK
Other
Enumeration date
03/08/2016
Last updated
10/31/2024
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