Individual
MISS JUANITA ANN BALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8023 MAIN STREET, NANWALEK, AK 99603
(907) 281-2250
(907) 281-2244
Mailing address
8023 MAIN STREET, NANWALEK, AK 99603
(907) 281-2250
(907) 281-2244
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
06-887-111
AK
Other
Enumeration date
04/24/2009
Last updated
05/03/2023
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