Provider First Line Business Practice Location Address:
2960 TONGASS AVENUE
Provider Second Line Business Practice Location Address:
FIRST FLOOR KETCHIKAN INDIAN COMMUNITY TRIBAL HEALTH CL
Provider Business Practice Location Address City Name:
KETCHIKAN
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-228-4917
Provider Business Practice Location Address Fax Number:
907-228-4920
Provider Enumeration Date:
03/09/2009