Individual
ELENA MARYANN EVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BAY SIDE VIEW 146, GOODNEWS BAY, AK 99589-0146
(907) 967-2100
Mailing address
PO BOX 146, GOODNEWS BAY, AK 99589-0146
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
20-10609-I
AK
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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