Individual
JENNIE ARLENE SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 N KNIK ST, WASILLA, AK 99654-7050
(907) 373-4325
Mailing address
101 W HERITAGE DR. APT 2, WASILLA, AK 99654
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
209876
AK
Other
Enumeration date
10/09/2020
Last updated
08/22/2023
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