Individual
MRS. JENNIFER DAWN VONHEEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
297 LORRAINE CT, SOLDOTNA, AK 99669-7418
(907) 854-4415
Mailing address
297 LORRAINE CT, SOLDOTNA, AK 99669-7418
(907) 854-4415
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
25643
AK
163W00000X
Registered Nurse
Primary
4704243005
MI
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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