Most Relevant Information
Provider Data
| NPI Number: | 1003417825 |
| Provider Name: | NATHAN CHORMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/06/2020 |
| Last Updated: | 11/10/2020 |
Provider Practice Location
3948 BEN WALTERS LN
HOMER
AK
996037708
Practice Location Phone/Fax
| Phone: | 9072357701 |
| Fax: |
Provider Mailing Location
3948 BEN WALTERS LN
HOMER
AK
996037708
Provider Mailing Phone/Fax
| Phone: | 9072357701 |
| Fax: |