Jimmy J. Jimmy
Technician, Personal Care Attendant in Bethel, AK. Individual provider (NPI-1).
NPI number1003023391
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1003023391
- Entity type
- Individual (NPI-1)
- Name
- Jimmy J. Jimmy
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 17, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
700 Chief Eddie Hoffman HighwayBethel, AK 99559-0287
Phone 907-543-6300 · Fax 907-543-6366
Mailing address
Po Box 287Bethel, AK 99559-0287
Phone 907-543-6300 · Fax 907-543-6366
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All 213 Personal Care Attendant providers in Bethel · All 1,456 providers in Bethel
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