Individual
FRIEDA ENINGOWUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHA
Contact information
Practice address
123 OCEANVIEW, SHISHMAREF, AK 99772-0133
(907) 649-3311
(907) 649-2083
Mailing address
123 OCEANVIEW, SHISHMAREF, AK 99772-0133
(907) 649-3311
(907) 649-2083
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHA
CHA
AK
Enumeration date
09/01/2016
Last updated
09/01/2016
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