Individual
MICHAEL WAYNE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2955 W LEE TREVINO AVE, WASILLA, AK 99623-4122
(406) 861-0455
Mailing address
2955 W LEE TREVINO AVE, WASILLA, AK 99623-4122
(406) 861-0455
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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