Individual
MS. CHARLENE RACHEL KATCHATAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HEALTH AIDE
Contact information
Practice address
09 RIVER VIEW, SHAKTOOLIK, AK 99771
(907) 955-3311
(907) 995-2342
Mailing address
09 RIVER VIEW, SHAKTOOLIK, AK 99771
(907) 955-3311
(907) 995-2342
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
13-1229-II
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-1229-II
CHA II
AK
Enumeration date
06/21/2013
Last updated
06/21/2013
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