Individual
DOMINIK PELOWOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
530 RAZORBACK ROAD, WALES, AK 99783-0543
(907) 664-3311
Mailing address
PO BOX 530, WALES, AK 99783-0530
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
AK
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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