Individual
JULIAN CHISMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
436 5TH AVE, KOTZEBUE, AK 99752
(907) 442-3321
Mailing address
PO BOX 43, #436 5TH AVENUE, KOTZEBUE, AK 99752
(907) 442-3321
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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