Individual
SARA JOHNEE ELMA SEETOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
WEST CLARENCE STREET, BREVIG MISSION, AK 99785
(907) 642-4311
(907) 642-2216
Mailing address
WEST CLARENCE STREET, BREVIG MISSION, AK 99785
(907) 642-4311
(907) 642-2216
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
05-748-P
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-748-P
CHP
—
Enumeration date
08/12/2013
Last updated
08/12/2013
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