Rudolph Demoski JR.

NPI #1992351472 in Wasilla, Alaska

Provider Information

NPI Number: 1992351472
Entity Type: Individual
Name: Rudolph Demoski JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 12, 2019
Last Updated: Aug 12, 2019

Practice Location

Address: 3127 S ST MIHIEL CIR
City: Wasilla
State: Alaska
ZIP Code: 99654-0225
Phone: (907) 497-7112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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