Individual
JERRI LINDA MORAN-GENTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 A 7TH AVE, BETHEL, AK 99559
(907) 545-7307
Mailing address
PO BOX 1648, BETHEL, AK 99559-1648
(907) 545-7307
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
101614
AK
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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