Individual
JENNIFER BERRYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 S TEELAND ST, WASILLA, AK 99623-9797
(907) 315-1064
Mailing address
2701 S TEELAND ST, WASILLA, AK 99623-9797
(907) 315-1064
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
27183
AK
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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