Individual
JERI R WALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMT III
Contact information
Practice address
1000 E 36TH AVE, ANCHORAGE, AK 99508-4304
(907) 441-8559
Mailing address
5360 B ST, ANCHORAGE, AK 99515
(907) 659-3106
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
1550877
AK
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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