Jolene M Gough

NPI #1013763317 in Kenai, Alaska

Provider Information

NPI Number
1013763317
Entity Type
Individual
Name
Jolene M Gough
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Apr 26, 2024
Last Updated
Apr 26, 2024

Practice Location

Address
130 S WILLOW ST STE 9
City
Kenai
State
Alaska
ZIP Code
99611-9107
Phone
(907) 283-0085

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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