Individual
JOHANNA COGHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHA IV
Contact information
Practice address
806 G ST., NENANA, AK 99760
(907) 832-5247
Mailing address
806 G ST., NENANA, AK 99760
(907) 832-5247
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
10-1083-IV
AK
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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