Individual
MR. BRENDAN CHARLES MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1460 E MULCHATNA DR, WASILLA, AK 99654-3540
(907) 841-2448
Mailing address
1460 E MULCHATNA DR, WASILLA, AK 99654-3540
(907) 841-2448
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100393
AK
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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