ELI JEROME EVANS

FAIRBANKS, AK
NPI1811601289
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2023-01-10
Last Update Date2023-01-10
Business Address
ELI JEROME EVANS
3101 LATHROP ST
FAIRBANKS, AK 99701-7426
Phone number: 907-459-4700
Mailing Address
ELI JEROME EVANS
3101 LATHROP ST
FAIRBANKS, AK 99701-7426
Phone number: