Individual
SHAINA M SOONAGROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHA-I
Contact information
Practice address
AIRPORT ROAD 151, SAVOONGA, AK 99769-0151
(907) 984-6513
(907) 984-6068
Mailing address
PO BOX 151, SAVOONGA, AK 99769-0151
(907) 984-6513
(907) 984-6068
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHA-I
CHA-I
AK
Enumeration date
08/08/2019
Last updated
08/08/2019
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