Individual
CHANTEL MARIE MULLIGAN-REAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHA-1
Contact information
Practice address
28 STATE DOCK ROAD, GUSTVAUS, AK 99826
(907) 697-3008
(907) 697-3034
Mailing address
PO BOX 399, GUSTAVUS, AK 99826-0399
(907) 697-3008
(907) 697-3034
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
23-1718-I
AK
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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