Individual
JENNIFER A. WENRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
376 LAYLA CT, FAIRBANKS, AK 99712-1441
(907) 456-1571
(907) 456-1581
Mailing address
1573 N RADER DR, FAIRBANKS, AK 99709-6022
(907) 455-6330
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
102094
AK
Other
Enumeration date
01/06/2018
Last updated
01/06/2018
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