Individual
MS. JILL MARIE MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1751 E GARDNER WAY STE E, WASILLA, AK 99654-6564
(907) 315-6658
Mailing address
16435 E SULLIVAN AVE, PALMER, AK 99645-8540
(907) 315-6658
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
951984
AK
Other
Enumeration date
04/29/2012
Last updated
04/29/2012
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