Provider First Line Business Practice Location Address:
155 GOODNEWS BAY CLINIC
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GOODNEWS BAY
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99589-0155
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-967-8128
Provider Business Practice Location Address Fax Number:
907-967-8928
Provider Enumeration Date:
02/22/2017