Individual
GENIEVA SUE O'BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3830 S CUSHMAN ST, FAIRBANKS, AK 99701-7530
(907) 455-5281
Mailing address
5142 KLONDIKE DR, FAIRBANKS, AK 99709-3138
(907) 479-4095
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
5849
AK
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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