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MS. CHRISTEN MARRIELLE KING PDHA I

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1922511385

Individual Registrant:
MS. CHRISTEN MARRIELLE KING PDHA I
Gender: F
Not Sole Proprietor

Location and contact information for practice:
725 RELAY ROAD  ANGOON, AK 99820 US
Tel: 907-788-4655  Fax: --

Contact information for business:
3100 CHANNEL DR STE 300  JUNEAU, AK 99801-7837 US
Tel: 907-463-6675  Fax: --

Registration Information:
NPI: 1922511385
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
COMMUNITY HEALTH AIDE PROGRAM CERTIFICATION BOARD- FEDERAL CERTIFICATION17-144-PDHA101




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