SHYANNE MANDY KOPANUK

FAIRBANKS, AK
NPI1508689092
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-11-04
Last Update Date2024-11-04
Business Address
SHYANNE MANDY KOPANUK
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
Mailing Address
SHYANNE MANDY KOPANUK
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890