Individual
BERTHA BARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHA
Contact information
Practice address
85058 CLARENCE RD, BREVIG MISSION, AK 99785
(907) 642-4311
(907) 642-2216
Mailing address
85058 CLARENCE RD, BREVIG MISSION, AK 99785
(907) 642-4311
(907) 642-2216
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
14-1291-II
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141291-II
CHA II
AK
Enumeration date
04/03/2015
Last updated
04/03/2015
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