Individual
SANDRA OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
728 CHIEF RICHARD CARLE SR. DRIVE, CRAIG, AK 99921
(907) 826-2943
Mailing address
721 STEDMAN ST, KETCHIKAN, AK 99901-6632
(907) 225-7825
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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