Individual
JENNIFER KIMZEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5461 E MAYFLOWER LN, WASILLA, AK 99654-7892
(907) 357-6688
Mailing address
1781 N TANANA DR, WASILLA, AK 99654-5941
(757) 738-4049
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
151537
AK
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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