Individual
DA-TARYOTU JOSEPH EGBUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
607 DIVISION STREET, NOME, AK 99762
(907) 443-3344
Mailing address
PO BOX 966, NOME, AK 99762-0966
(907) 443-3344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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