Individual
MELISSA JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20226 SEIKA DR, CHUGIAK, AK 99567-0347
(907) 632-5499
Mailing address
PO BOX 670347, CHUGIAK, AK 99567-0347
(907) 632-5499
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26700
AK
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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