Individual
MARCIA LYNN ACEVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHAP
Contact information
Practice address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-2411
(907) 966-8656
Mailing address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-2411
(907) 966-8656
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDG632
—
AK
Enumeration date
11/08/2011
Last updated
11/08/2011
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