Individual
MS. CHRISTEN MARRIELLE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PDHA I
Contact information
Practice address
725 RELAY ROAD, ANGOON, AK 99820
(907) 788-4655
Mailing address
3100 CHANNEL DR STE 300, JUNEAU, AK 99801-7837
(907) 463-6675
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-144-PDHA1
COMMUNITY HEALTH AIDE PROGRAM CERTIFICATION BOARD- FEDERAL CERTIFICATION
—
Enumeration date
11/08/2017
Last updated
03/17/2018
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