Individual
SHANA NOONGWOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
GENERAL DELIVERY, SAVOONGA, AK 99769-9999
(907) 984-6635
(907) 984-6050
Mailing address
GENERAL DELIVERY, SAVOONGA, AK 99769-9999
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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