Individual
JENNIFER TROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
18226 PIONEER DR, EAGLE RIVER, AK 99577-9331
(218) 393-1895
Mailing address
18226 PIONEER DR, EAGLE RIVER, AK 99577-9331
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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