MR. Alonzo Craig Leisholmn SR., CHA-IV
NPI #1225303878 in Metlakatla, Alaska
Provider Information
- NPI Number
- 1225303878
- Entity Type
- Individual
- Name
- MR. Alonzo Craig Leisholmn SR., CHA-IV
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Community Health Worker
- Credential
- CHA-IV
- Enumeration Date
- Mar 15, 2012
- Last Updated
- Aug 22, 2022
Practice Location
- Address
- 563 BRENDIBLE ST
- City
- Metlakatla
- State
- Alaska
- ZIP Code
- 99926-0439
- Phone
- (907) 886-4741
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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