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Deserae Stellwag
NPI 1477243947 · on the registry since 2023
Practice
- Address
- 505 Copper Mountain Street
Tatitlek, AK 99677 - Phone
- (907) 325-2235
- Organisation at this address
- Chugachmiut
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- AK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska