Individual
JILLIAN GAYLE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3600 BETTE CATO DR, SEWARD, AK 99664-9730
Mailing address
PO BOX 1007, SEWARD, AK 99664-1007
(907) 491-1205
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
133270
AK
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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