Individual
RUDOLPH DEMOSKI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3127 S ST MIHIEL CIR, WASILLA, AK 99654-0225
(907) 497-7112
Mailing address
3127 S ST MIHIEL CIR, WASILLA, AK 99654-0225
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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