TYLER WITHAM

ANCHORAGE, AK
NPI1568146355
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Additional Taxonomies3747P1801X Technician Personal Care Attendant
Enumeration Date2023-06-12
Last Update Date2023-06-12
Business Address
TYLER WITHAM
1550 E 74TH AVE
ANCHORAGE, AK 99507-2614
Phone number: 907-929-5826
Mailing Address
TYLER WITHAM
1550 E 74TH AVE
ANCHORAGE, AK 99507-2614
Phone number: 907-929-5826