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Individual

MRS. YELENA BEREZHKOVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5792 E UNALASKA DR, WASILLA, AK 99654-9761
(907) 357-9873
(907) 373-7780
Mailing address
727 E BLUE SPRUCE CIR, WASILLA, AK 99654-0401
(907) 357-9873
(907) 373-7780

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
100804
AK

Other

Enumeration date
02/02/2010
Last updated
02/02/2010
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