JEWELL DOUGLAS BRADFORD

WASILLA, AK
NPI1063136570
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2022-09-28
Last Update Date2022-09-28
Business Address
JEWELL DOUGLAS BRADFORD
1363 W SPRUCE AVE
WASILLA, AK 99654-5327
Phone number: 907-376-2411
Mailing Address
JEWELL DOUGLAS BRADFORD
PO BOX 870591
WASILLA, AK 99687-0591
Phone number: 907-671-3338