Individual
JENNIFER MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 NICHOLS ST, ANCHORAGE, AK 99508-3056
(907) 375-8779
Mailing address
1520 NICHOLS ST, ANCHORAGE, AK 99508-3056
(907) 375-8779
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
—
—
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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