Individual
MARIE OLANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHA-II
Contact information
Practice address
85058 CLARENCE ROAD, BREVIG MISSION, AK 99785-0058
(907) 642-4311
(907) 642-2216
Mailing address
PO BOX 85058, BREVIG MISSION, AK 99785-0058
(907) 642-4311
(907) 642-2216
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CHA-II
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHA-II
CHA-II
AK
Enumeration date
04/27/2015
Last updated
04/27/2015
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