Individual
REBECCA A SHANGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 KANAKANAK RD, CHIGNIK LAKE CLINIC, DILLINGHAM, AK 99576-0130
(907) 842-5201
Mailing address
P.O. BOX 130, CHIGNIK LAKE CLINIC, DILLINGHAM, AK 99576-0130
(907) 842-5201
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
17-1425-LL
AK
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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