| NPI | 1447512660 |
|---|---|
| Doing Business As | TRIBAL- QUYANA CLUBHOUSE |
| Entity Type | Organization |
| Authorized Contact | RONALD LEE OLSON Executive Vice President Finance 907-729-4939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: AK 20467) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2023-09-13 |