| NPI | 1750052387 |
|---|---|
| Doing Business As | TRIBAL BENTEH NUUTAH FOUR DIRECTIONS |
| Entity Type | Organization |
| Authorized Contact | JONA TETZLOFF Manager 907-729-5083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2025-05-19 |