Individual
CHARMAINE SHAY ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
TETLIN HEALTH CLINIC, TETLIN, AK 99780
(907) 324-2136
Mailing address
PO BOX 1029, TOK, AK 99780-1029
(907) 505-0374
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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