Individual
BERTHA CAROL KOWELUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
607 DIVISION STREET, NOME, AK 99762
(907) 443-3344
Mailing address
607 DIVISION STREET, NOME, AK 99762
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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