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Robert Shomler

Community Health Worker in Wasilla, AK. Individual provider (NPI-1).

NPI number1962096149
StatusActive
Last updated in NPPESSep 10, 2021

Details

NPI
1962096149
Entity type
Individual (NPI-1)
Name
Robert Shomler
Sex
Male
Sole proprietor
No
Enumeration date
Feb 27, 2021
Certification date
Sep 10, 2021
Last updated
Sep 10, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

1365 E Parks Hwy Ste 101
Wasilla, AK 99654-8297

Phone 907-357-6445

Mailing address

1365 E Parks Hwy Ste 101
Wasilla, AK 99654-8297

Phone 907-357-6445

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