CODY PEQUENO

BETHEL, AK
NPI1023310174
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Additional Taxonomies3747P1801X Technician Personal Care Attendant
Enumeration Date2010-11-23
Last Update Date2010-11-23
Business Address
CODY PEQUENO
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Phone number: 907-543-6300
Mailing Address
CODY PEQUENO
P. O. BOX 287
BETHEL, AK 99559
Phone number: