Individual
VANCE CANOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2436 MISSION RD, NORTH POLE, AK 99705-6327
(907) 687-5608
Mailing address
2436 MISSION RD, NORTH POLE, AK 99705-6327
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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