Individual
GIOVANNI JORDAN TERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
436 5TH AVENUE, KOTZEBUE, AK 99752
(907) 442-3321
(907) 442-7360
Mailing address
PO BOX 134, KOTZEBUE, AK 99752-0134
(907) 442-3321
(907) 442-7360
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AK
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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