ROY FUKUOKA

PALMER, AK
NPI1629067590
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AK  281)
Enumeration Date2005-10-13
Last Update Date2010-10-15
Business Address
-- ROY FUKUOKA
2500 S WOODWORTH LOOP
PALMER, AK 99645-8984
Phone number: 907-227-0162
Mailing Address
-- ROY FUKUOKA
8737 INYO CIR
EAGLE RIVER, AK 99577-9402
Phone number: 907-227-0162