Individual
TINA RENEE JAMES-GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DHA II
Contact information
Practice address
725 RELAY ROAD, ANGOON, AK 99820
(907) 788-4655
(907) 788-3180
Mailing address
725 RELAY ROAD, PO BOX 287, ANGOON, AK 99820
(907) 788-4655
(907) 788-3180
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-044-PDHA II
COMMUNITY HEALTH AIDE PROGRAM CERTIFICATION BOARD NUMBER
AK
Enumeration date
07/17/2013
Last updated
07/17/2013
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