Individual
ZINA BODUNOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4921 S BINNACLE AVE, WASILLA, AK 99654
(907) 980-2056
Mailing address
PO BOX 879341, WASILLA, AK 99687-9341
(907) 980-2056
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
6970
AK
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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