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Individual

KIMBERLY SUE TRENT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
670 W. FIREWEED LANE SUITE 160, ANCHORAGE, AK 99503
(907) 770-0862
Mailing address
PO BOX 875628, WASILLA, AK 99687
(813) 992-6815

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
117404
AK
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
11/27/2018
Last updated
04/27/2021
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