Individual
CHERAY ALISH RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHA-T
Contact information
Practice address
94 BAKER STREET, ST.MICHAEL, AK 99659-0094
(907) 923-3311
(907) 923-2287
Mailing address
PO BOX 966, NOME, AK 99762-0966
(907) 443-3311
(907) 443-3471
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHA-T
CHA-T
AK
Enumeration date
06/06/2022
Last updated
06/06/2022
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