Individual
THELMA VLASOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHP-C
Contact information
Practice address
411 OLD VILLAGE ROAD, TATITLEK, AK 99677-0172
(907) 325-2235
(907) 325-2350
Mailing address
PO BOX 172, TATITLEK, AK 99677-0172
(907) 325-2235
(907) 325-2350
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDH0194
—
AK
Enumeration date
03/18/2008
Last updated
05/22/2012
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