ISAIAH RERICHA-NICHOLSON

FAIRBANKS, AK
NPI1174239008
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2023-01-24
Last Update Date2023-01-24
Business Address
ISAIAH RERICHA-NICHOLSON
209 FORTY MILE AVE
FAIRBANKS, AK 99701-3110
Phone number: 907-456-6445
Mailing Address
ISAIAH RERICHA-NICHOLSON
209 FORTY MILE AVE
FAIRBANKS, AK 99701-3110
Phone number: 907-456-6445