XAVIER DESHAE EDWARDS

FAIRBANKS, AK
NPI1598585812
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-10-11
Last Update Date2024-10-11
Business Address
XAVIER DESHAE EDWARDS
2550 LAWLOR RD
FAIRBANKS, AK 99709-6458
Phone number: 907-452-8251
Mailing Address
XAVIER DESHAE EDWARDS
2550 LAWLOR RD
FAIRBANKS, AK 99709-6458
Phone number: