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MARISSA TOMAGANUK
>> Community Health Worker >> Other Service ProvidersRegistrant NPI Number: 1952835621
Individual Registrant: MARISSA TOMAGANUK
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
101 AIRPORT ROAD HOOPER BAY, AK 99604 US
Tel: 907-758-4711 Fax: 907-758-3540
Tel: 907-758-4711 Fax: 907-758-3540
Contact information for business:
101 AIRPORT ROAD HOOPER BAY, AK 99604 US
Tel: 907-758-4711 Fax: 907-758-3540
Tel: 907-758-4711 Fax: 907-758-3540
Registration Information:
NPI: 1952835621
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 172V00000X | Other Service Providers Community Health Worker |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
