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EMILY ELAINE WEYIOUANNA CHA-T

Community Health >> Clinic/Center >> Ambulatory Health Care Facilities

Registrant NPI Number: 1942716022

Individual Registrant:
 EMILY ELAINE WEYIOUANNA CHA-T
Gender: F
Sole Proprietor

Location and contact information for practice:
123 OCEANVIEW  SHISHMAREF, AK 99772-0133 US
Tel: 907-649-3311  Fax: 907-649-2083

Contact information for business:
P.O. BOX 133  SHISHMAREF, AK 99772-0133 US
Tel: 907-649-3311  Fax: 907-649-2083

Registration Information:
NPI: 1942716022
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QC1500XAmbulatory Health Care Facilities
Clinic/Center
Community Health
AK

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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