Individual
MARILYN WALUNGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHA
Contact information
Practice address
123 MAZ WAY, GAMBELL, AK 99742
(907) 985-5012
(907) 985-5085
Mailing address
P.O. BOX 190, GAMBELL, AK 99742
(907) 985-5012
(907) 985-5085
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CHA-T
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHA
CHA
AK
Enumeration date
06/02/2015
Last updated
06/02/2015
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