Individual
BRIANNE GOLOGERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
FIRST BLUE BUILDING TO THE RIGHT WHEN LEAVE AIRPORT, BOX 151, SAVOONGA, AK 99769
(907) 984-6513
(907) 984-6068
Mailing address
PO BOX 151, SAVOONGA, AK 99769
(907) 984-6513
(907) 984-6068
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
121213III
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12-1213-III
CHA III
AK
Enumeration date
03/06/2014
Last updated
03/06/2014
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