CHANNA LISA KOOZAATA

GAMBELL, AK
NPI1053653691
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: AK  10-1073-III)
Enumeration Date2013-03-21
Last Update Date2013-03-21
Business Address
-- CHANNA LISA KOOZAATA
190 GRAVEL ROAD
GAMBELL, AK 99742-0190
Phone number: 907-985-5012
Mailing Address
-- CHANNA LISA KOOZAATA
190 GRAVEL ROAD
GAMBELL, AK 99742-0190
Phone number: 907-985-5012