CANDACE ELIDA CARROLL

FAIRBANKS, AK
NPI1982726360
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy310400000X Assisted Living Facility
(Licence: AK  100585)
Enumeration Date2007-04-04
Last Update Date2007-07-08
Business Address
Ms. CANDACE ELIDA CARROLL
1221 3RD AVE
FAIRBANKS, AK 99701-4239
Phone number: 907-378-0836
Mailing Address
Ms. CANDACE ELIDA CARROLL
1221 3RD AVE
FAIRBANKS, AK 99701-4239
Phone number: 907-378-0836