Individual
WASSILIANE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 BOARDWALK WAY, ATMAUTLUAK, AK 99559-6588
(907) 553-5114
(907) 553-5412
Mailing address
101 BOARDWALK WAY, ATMAUTLUAK, AK 99559-6588
(907) 553-5114
(907) 553-5412
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
07/03/2007
Last updated
02/06/2019
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