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Individual
MIA NOELLE JENKINS
Active
Individual
MIA NOELLE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ9547
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JJQ810359158
CAREFIRST BLUECHOICE, INC.
MD
Enumeration date
04/07/2020
Last updated
06/08/2020
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