CHANNA LISA KOOZAATA
Medical Practice in Gambell, AK

License number
Alaska 10-1073-III
Category
Medical Practice
Type
Community Health Worker
Address
Address
190 Gravel Rd, Gambell, AK 99742
Phone
(907) 985-5012
(907) 985-5085 (Fax)
National Provider ID: 1053653691
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Channa Koozaata
PO Box 74, Gambell, AK 99742

Medical Practice licenses in Alaska