MAXINE ACTIVE

BETHEL, AK
NPI1538406285
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2013-01-14
Last Update Date2013-01-14
Business Address
-- MAXINE ACTIVE
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559-0528
Phone number: 907-543-6300
Mailing Address
-- MAXINE ACTIVE
PO BOX 528
BETHEL, AK 99559-0528
Phone number: