Individual
KAYLENE LAUANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10322 CHAIN OF ROCK ST, EAGLE RIVER, AK 99577-8184
(907) 538-9667
(907) 538-4002
Mailing address
10322 CHAIN OF ROCK ST, EAGLE RIVER, AK 99577-8184
(907) 538-9667
(907) 929-9005
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
1003537
AK
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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