Provider First Line Business Practice Location Address:
44800 KENAI SPUR HIGHWAY
Provider Second Line Business Practice Location Address:
NIKISKI FIRE STATION #1
Provider Business Practice Location Address City Name:
NIKISKI
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99635
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-776-6401
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/26/2009