Most Relevant Information
Provider Data
| NPI Number: | 1003407131 |
| Provider Name: | DALE LLOYD WELTY |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/01/2021 |
| Last Updated: | 02/01/2021 |
Provider Practice Location
805 LINCOLN ST
SITKA
AK
998357651
Practice Location Phone/Fax
| Phone: | 9077473687 |
| Fax: |
Provider Mailing Location
805 LINCOLN ST
SITKA
AK
998357651
Provider Mailing Phone/Fax
| Phone: | 9077473687 |
| Fax: |