Tia Katcheak CHA III

NPI 1023384641 - Community Health Worker - 172V00000X

NPI Details
NPI 1023384641
Gender Female
Enumeration Date 03/28/2012
Last Updated 03/28/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
50 AIRPORT ROAD
STEBBINS AK, 99671-0500, US
Phone (907) 934-3311
Fax (907) 934-3312
Business Location
50 AIRPORT ROAD
STEBBINS AK, 99671-0500, US
Phone (907) 934-3311
Fax (907) 934-3312
Toxanomy
Taxonomy Code 172V00000X
License State Alaska
License Number 12-1167-III
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According to our database, Mrs. Tia Katcheak CHA III NPI is 1023384641, taxonomy code is 172V00000X and license number is 12-1167-III, license state is located at Alaska. Tia Katcheak CHA III physically located at 50 Airport Road, Stebbins AK, 99671-0500. NPI Number Tia Katcheak CHA III has the Individual type.

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1023384641 NPI number is provided on an as is basis without warranty of any kind. 1023384641 is maintained by the National Plan & Provider Enumeration System. The contents of Tia Katcheak CHA III are for informational purposes only.