Individual
ASHLEY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3245 HOSPITAL DR, JUNEAU, AK 99801-7809
(907) 463-4040
Mailing address
36 DRAGON FLY LN, ARDMORE, OK 73401-2208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9204
AK
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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