Organization
EASTER SEALS ALASKA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. V GUTIERREZ-OSBORNE (CEO)
(907) 277-7325
Entity
Organization
Contact information
Practice address
301 CUSHMAN ST, SUITE 200, FAIRBANKS, AK 99701-4629
(907) 452-5126
(907) 452-5157
Mailing address
301 CUSHMAN ST, SUITE 200, FAIRBANKS, AK 99701-4629
(907) 452-5126
(907) 452-5157
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
280429
AK
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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