Provider First Line Business Practice Location Address:
101 TOTEM ST.
Provider Second Line Business Practice Location Address:
KAKE CLINIC
Provider Business Practice Location Address City Name:
KAKE
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99830
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-785-6515
Provider Business Practice Location Address Fax Number:
907-785-3350
Provider Enumeration Date:
09/30/2015