Individual
CAMILLE JACINTA KATCHEAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHA-T
Contact information
Practice address
94 BAKER STREET, SAINT MICHAEL, AK 99659-0094
(907) 923-3311
(907) 923-3387
Mailing address
P.O. BOX 94, SAINT MICHAEL, AK 99659-0094
(907) 923-3311
(907) 923-3387
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHA-T
CHA-T
—
Enumeration date
06/25/2018
Last updated
06/25/2018
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