Individual
MARK HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1465 N MEADOW LAKES LOOP, WASILLA, AK 99623
(907) 841-7686
(907) 373-5356
Mailing address
PO BOX 872076, WASILLA, AK 99687-2076
(907) 841-7686
(907) 373-5356
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
909120
AK
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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