Individual
LILLIAN MARY MINCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 MOORE ST, FAIRBANKS, AK 99701-5761
(907) 371-3473
Mailing address
TCC MAIN BUILDING, 1300 MOORE ST, FAIRBANKS, AK 99701
(907) 371-3473
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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