Individual
CAROL D BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHA1
Contact information
Practice address
2 COUNCIL STREET, EEK, AK 99578
(907) 536-5314
(907) 536-5732
Mailing address
P.O. BOX 69, EEK, AK 99578
(907) 536-5314
(907) 536-5732
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020986
—
AK
Enumeration date
01/08/2013
Last updated
01/17/2014
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