MATTHEW RAYMOND LAUTERSACK

BETHEL, AK
NPI1487062295
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Enumeration Date2014-07-24
Last Update Date2014-07-24
Business Address
MATTHEW RAYMOND LAUTERSACK
839 CHIEF EDDIE HOFFMAN HWY.
BETHEL, AK 99559-0528
Phone number: 907-543-2740
Mailing Address
MATTHEW RAYMOND LAUTERSACK
P.O. BOX 528 ATTN: BH MALONE HOME PROGRAM
BETHEL, AK 99559-0528
Phone number: 907-543-2740