Jaydenn Manibusan
Jaydenn Manibusan is a Community Health Worker in Fairbanks, Alaska. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
3101 Lathrop StFairbanks, AK 99701-7426
Phone: (907) 474-0890
Fax: (907) 474-3621
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Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1942070123 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 8, 2024 |
| Last updated in NPPES | January 8, 2024 |
| Certification date | January 8, 2024 |
| Mailing address | 3101 Lathrop St, Fairbanks, AK 99701-7426 |
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