Individual
CHISANA HILDRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHA I
Contact information
Practice address
436 & 5TH AVE, KOTZEBUE, AK 99752-0043
(907) 442-7162
(907) 442-7250
Mailing address
PO BOX 43, KOTZEBUE, AK 99752-0043
(907) 442-7162
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
24-1734-I
AK
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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