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JE' SAUNDRA MICHELLE ACUAVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
6000 KANAKANAK RD, DILLINGHAM, AK 99576
(907) 842-9592
(907) 842-9303
Mailing address
4222 SOUTHPARK DR APT 210, TYLER, TX 75703-1874
(903) 565-9069

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
834314
TX
163WC0400X
Case Management Registered Nurse
145533
AK

Other

Enumeration date
06/20/2019
Last updated
06/20/2019
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