Individual
MS. JERRINA REED- VAN WORMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
56610 E END RD, HOMER, AK 99603-9572
(907) 887-6647
Mailing address
PO BOX 3395, HOMER, AK 99603-3395
(907) 887-6647
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
124837
AK
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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