Rose Ann Gosuk
Community Health Worker in South Naknek, AK. Individual provider (NPI-1).
NPI number1164041018
StatusActive
Last updated in NPPESApr 10, 2020
Details
- NPI
- 1164041018
- Entity type
- Individual (NPI-1)
- Name
- Rose Ann Gosuk
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2020
- Certification date
- Apr 10, 2020
- Last updated
- Apr 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | 20-1610-I | AK | Yes |
Practice location
49 Main StreetSouth Naknek, AK 99670
Phone 907-246-6546
Mailing address
49 Main StreetSouth Naknek, AK 99670
Phone 907-246-6546
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