Individual
BESSIE MADELINE MILLIGROCK-OZENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 GREG KRUSCHEK AVE, NOME, AK 99762
(907) 443-3311
(907) 443-3471
Mailing address
1000 GREG KRUSCHEK AVE, NOME, AK 99762
(907) 443-3311
(907) 443-3471
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
14-1328-II
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-1328II
CHA II
AK
Enumeration date
01/20/2015
Last updated
01/20/2015
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