Jolene M Gough
Technician, Personal Care Attendant in Kenai, AK. Individual provider (NPI-1).
NPI number1013763317
StatusActive
Last updated in NPPESApr 26, 2024
Details
- NPI
- 1013763317
- Entity type
- Individual (NPI-1)
- Name
- Jolene M Gough
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2024
- Certification date
- Apr 26, 2024
- Last updated
- Apr 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | 1712359 | AK | Yes |
Practice location
130 S Willow St Ste 9Kenai, AK 99611-9107
Phone 907-283-0085
Mailing address
130 S Willow St Ste 9Kenai, AK 99611-9107
Phone 907-283-0085
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All 70 Personal Care Attendant providers in Kenai · All 593 providers in Kenai
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