Individual
MARY G TOM-OYOUMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHA-T
Contact information
Practice address
50 SCHOOL BLVD, STEBBINS, AK 99671-0050
(907) 934-3311
(907) 934-3312
Mailing address
PO BOX 966, NOME, AK 99762-0966
(907) 443-3311
(907) 443-3471
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHA-T
CHA-T
AK
Enumeration date
10/28/2022
Last updated
10/28/2022
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