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LEONA PATTERSON CHA-I

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1386021103

Individual Registrant:
 LEONA  PATTERSON CHA-I
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1ST MAIN STREET  SHAKTOOLIK, AK 99771 US
Tel: 907-955-3311  Fax: 907-955-2342

Contact information for business:
1ST MAIN STREET  SHAKTOOLIK, AK 99771 US
Tel: 907-955-3311  Fax: 907-955-2342

Registration Information:
NPI: 1386021103
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
CHA-ICHA-IAK01




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