Individual
JESSE PATTERSON LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
398 HAMILTON AVE, FAIRBANKS, AK 99701-3537
(907) 374-4911
Mailing address
1526 RICHARD BERRY DR, FAIRBANKS, AK 99709-5985
(907) 590-9780
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
225916
AK
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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