LAVINA WILSON

BETHEL, AK
NPI1942417290
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy373H00000X Day Training/Habilitation Specialist
Additional Taxonomies3747P1801X Technician Personal Care Attendant
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
LAVINA WILSON
700 CHIEF EDDIE HOFFMAN HIGHWAY
BETHEL, AK 99559
Phone number: 907-543-6300
Mailing Address
LAVINA WILSON
PO BOX 528
BETHEL, AK 99559-0528
Phone number: