Individual
NISHAMA J SRUR BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
733 2ND AVENUE, KOTZEBUE, AK 99752
(907) 442-7035
(907) 442-4375
Mailing address
PO BOX 256, KOTZEBUE, AK 99752-0256
(907) 442-7035
(907) 442-4375
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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