Individual
MRS. TRENA L DAGENHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 366-2411
Mailing address
4507 HALIBUT POINT RD # B, SITKA, AK 99835-9507
(907) 966-3419
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
25999
AK
Other
Enumeration date
04/10/2009
Last updated
04/10/2009
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