HERRELL ADDISON DOUGLAS

FAIRBANKS, AK
NPI1679446298
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2025-09-29
Last Update Date2025-09-29
Business Address
HERRELL ADDISON DOUGLAS
3101 LATHROP ST
FAIRBANKS, AK 99701-7426
Phone number: 907-459-4700
Mailing Address
HERRELL ADDISON DOUGLAS
3101 LATHROP ST
FAIRBANKS, AK 99701-7426
Phone number: 907-459-4700