Provider First Line Business Practice Location Address:
MANIILAQ HEALH CENTER
Provider Second Line Business Practice Location Address:
BOX 43
Provider Business Practice Location Address City Name:
KOTZEBUE
Provider Business Practice Location Address State Name:
AK
Provider Business Practice Location Address Postal Code:
99752
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
907-442-7387
Provider Business Practice Location Address Fax Number:
907-442-7250
Provider Enumeration Date:
10/13/2009