Individual
KIARA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1184 PEARL ST SW, WARREN, OH 44485-3650
(567) 219-3045
Mailing address
1184 PEARL ST SW, WARREN, OH 44485-3650
(567) 219-3045
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
0132488
OH
376K00000X
Nurse's Aide
Primary
0132488
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132488
—
OH
Enumeration date
07/31/2015
Last updated
07/31/2015
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