DERRICK LAIN

ANCHORAGE, AK
NPI1598380784
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Enumeration Date2020-06-12
Last Update Date2020-06-12
Business Address
DERRICK LAIN
7521 BRAYTON DR
ANCHORAGE, AK 99507-2667
Phone number: 907-929-5826
Mailing Address
DERRICK LAIN
7521 BRAYTON DR
ANCHORAGE, AK 99507-2667
Phone number: 907-929-5826
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