Search › Alaska › 376G00000X
Matthew Jeselnik
NPI 1386188720 · on the registry since 2016
Practice
- Address
- 1233 5th Ave
Fairbanks, AK 99701 - Phone
- (907) 317-1093
- Organisation at this address
- Lifetothefullestllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 376G00000X
376G00000X
- Licence states on file
- AK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-12-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alaska