TIMOTHY ANTONIO DUDLEY

FAIRBANKS, AK
NPI1790424547
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2022-05-31
Last Update Date2022-05-31
Business Address
TIMOTHY ANTONIO DUDLEY
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890
Mailing Address
TIMOTHY ANTONIO DUDLEY
1825 MARIKA RD
FAIRBANKS, AK 99709-5521
Phone number: 907-474-0890