Individual
SAMMI E CHANGSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MAIN ROAD, RUSSIAN MISSION, AK 99657
(907) 564-5611
(907) 564-5830
Mailing address
1 MAIN ROAD, RUSSIAN MISSION, AK 99657
(907) 564-5611
(907) 564-5830
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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