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Individual

EMILY ELAINE WEYIOUANNA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CHA-T

Contact information

Practice address
123 OCEANVIEW, SHISHMAREF, AK 99772-0133
(907) 649-3311
(907) 649-2083
Mailing address
P.O. BOX 133, SHISHMAREF, AK 99772-0133
(907) 649-3311
(907) 649-2083

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
AK

Other

Enumeration date
12/27/2017
Last updated
12/27/2017
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