Individual
MS. BONITA R MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, BHP
Contact information
Practice address
6000 KANAKANAK RD, DILLINGHAM, AK 99576-0130
(907) 842-9218
(907) 842-9250
Mailing address
MEDICAL STAFF DEPARTMENT, P.O. BOX 130, DILLINGHAM, AK 99576-0130
(907) 842-9218
(907) 842-9250
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10-019-BHP
AK
Other
Enumeration date
05/07/2007
Last updated
12/05/2012
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