Provider First Line Business Practice Location Address:
W. TENAKEE SPRINGS
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TENAKEE SPRINGS
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99841
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-463-4040
Provider Business Practice Location Address Fax Number:
907-463-4012
Provider Enumeration Date:
02/14/2008