Individual
CECELIA TINGOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHA
Contact information
Practice address
530 SNOWBANK STREET, WALES, AK 99783-0530
(907) 664-3311
(907) 664-2135
Mailing address
530 SNOWBANK STREET, WALES, AK 99783-0530
(907) 664-3311
(907) 664-2135
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHA
CHA
AK
Enumeration date
09/11/2015
Last updated
09/11/2015
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