OLAF O'DOMIN

DILLINGHAM, AK
NPI1033557509
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: AK  12-1208-III)
Enumeration Date2013-06-06
Last Update Date2013-06-06
Business Address
-- OLAF O'DOMIN
6000 KANAKANAK RD
DILLINGHAM, AK 99576-0130
Phone number: 907-842-9217
Mailing Address
-- OLAF O'DOMIN
6000 KANAKANAK RD
DILLINGHAM, AK 99576-0130
Phone number: 907-842-9217