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Individual

MS. RENE LATISHA PITKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CHA-IV

Contact information

Practice address
MILE 111.5 RICHARDSON HWY, COPPER CENTER, AK 99573-0508
(907) 822-5241
(888) 959-2389
Mailing address
PO BOX H, COPPER CENTER, AK 99573-0508
(907) 822-5241
(888) 959-2389

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
08/16/2017
Last updated
01/24/2024
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