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Individual

RONALD DANIELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CHA

Contact information

Practice address
69 MOSES POINT ROAD, ELIM, AK 99739
(907) 890-3311
(907) 890-2280
Mailing address
P.O.BOX 69, ELIM, AK 99739
(907) 890-3311
(907) 890-2280

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
AK

Other

Enumeration date
06/03/2015
Last updated
06/03/2015
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