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BERTHA BARR CHA

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1932594108

Individual Registrant:
 BERTHA  BARR CHA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
85058 CLARENCE RD  BREVIG MISSION, AK 99785 US
Tel: 907-642-4311  Fax: 907-642-2216

Contact information for business:
85058 CLARENCE RD  BREVIG MISSION, AK 99785 US
Tel: 907-642-4311  Fax: 907-642-2216

Registration Information:
NPI: 1932594108
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker
AK14-1291-II

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CHA II141291-IIAK01




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