EDWARD WASSILLIE

BETHEL, AK
NPI1740572056
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2011-05-04
Last Update Date2011-05-04
Business Address
-- EDWARD WASSILLIE
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559-0528
Phone number: 907-543-6300
Mailing Address
-- EDWARD WASSILLIE
PO BOX 528
BETHEL, AK 99559-0528
Phone number: