Individual
MATTHEW JESELNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1233 5TH AVE, FAIRBANKS, AK 99701-4211
(907) 317-1093
Mailing address
1233 5TH AVE, FAIRBANKS, AK 99701-4211
(907) 317-1093
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
101139
AK
Other
Enumeration date
12/04/2016
Last updated
12/04/2016
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