Doctor Name: | FLORA PAUKAN |
NPI Number: | 1124238829 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | St Mary's Src St Marys, AK - 99658 |
Business Phone Number: | 9074383523 |
Business Fax Number: | 9074383541 |
Mailing Address: | Po Box 528, BETHEL |
State: | AK |
Postal Code: | 995590528 |
Phone Number: | 9075436100 |
Fax Number: | 9075436008 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |