NICKOLAS RUSSELL

WASILLA, AK
NPI1285593749
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2026-01-20
Last Update Date2026-01-20
Business Address
NICKOLAS RUSSELL
1365 E PARKS HWY
WASILLA, AK 99654-8298
Phone number: 907-357-6445
Mailing Address
NICKOLAS RUSSELL
1365 E PARKS HWY
WASILLA, AK 99654-8298
Phone number: 907-357-6445