JONATHAN GONZALES MAKUA

KETCHIKAN, AK
NPI1285239905
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2020-12-01
Last Update Date2020-12-01
Business Address
Mr. JONATHAN GONZALES MAKUA
2514 FIRST AVE
KETCHIKAN, AK 99901-5804
Phone number: 907-225-4664
Mailing Address
Mr. JONATHAN GONZALES MAKUA
PO BOX 7475
KETCHIKAN, AK 99901-2475
Phone number: 907-225-4664