Individual
MS. SHARON TRISH VASKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
228 SWAN CT., BOX 686, BETHEL, AK 99559-0686
(907) 543-3161
Mailing address
PO BOX 686, BETHEL, AK 99559-0686
(907) 543-3161
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
XID19624367
AK
251B00000X
Case Management Agency
296933
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMG001
—
AK
Enumeration date
05/24/2007
Last updated
04/29/2008
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