STEPHEN MICHAEL MOORE

FAIRBANKS, AK
NPI1528460342
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2014-09-24
Last Update Date2015-04-06
Business Address
STEPHEN MICHAEL MOORE
805 AIRPORT WAY
FAIRBANKS, AK 99701
Phone number: 907-456-8901
Mailing Address
STEPHEN MICHAEL MOORE
805 AIRPORT WAY C/O FRA
FAIRBANKS, AK 99701
Phone number: 907-456-8901