Most Relevant Information
Provider Data
| NPI Number: | 1003561770 |
| Provider Name: | EMMALEIGH S SAGOONICK CHA-T |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/21/2022 |
| Last Updated: | 02/21/2022 |
Provider Practice Location
1ST MAIN STREET
SHAKTOOLIK
AK
997710009
Practice Location Phone/Fax
| Phone: | 9079553311 |
| Fax: | 9079552342 |
Provider Mailing Location
PO BOX 966
NOME
AK
997620966
Provider Mailing Phone/Fax
| Phone: | 9074433311 |
| Fax: | 9074433471 |