LIISIA RAE EDWARDSEN

FAIRBANKS, AK
NPI1043942691
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2022-06-30
Last Update Date2022-06-30
Business Address
LIISIA RAE EDWARDSEN CHAIII
122 1ST AVE STE 106
FAIRBANKS, AK 99701-4871
Phone number: 907-452-8251
Mailing Address
LIISIA RAE EDWARDSEN CHAIII
122 1ST AVE STE 106
FAIRBANKS, AK 99701-4871
Phone number: 907-452-8251