ALONZO CRAIG LEISHOLMN

METLAKATLA, AK
NPI1225303878
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: AK  12-1169-IV)
Enumeration Date2012-03-15
Last Update Date2022-08-22
Business Address
Mr. ALONZO CRAIG LEISHOLMN CHA-IV
563 BRENDIBLE ST
METLAKATLA, AK 99926-0439
Phone number: 907-886-4741
Mailing Address
Mr. ALONZO CRAIG LEISHOLMN CHA-IV
P.O. BOX 385 1036 RAVEN ST
METLAKATLA, AK 99926-0385
Phone number: 907-617-5200
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