Individual
MS. CANDACE MICHELLE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1634 S ROOSEVELT AVE, COLUMBUS, OH 43209-3203
(614) 238-9428
Mailing address
1385 E 20TH AVE, COLUMBUS, OH 43211-2509
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105584342799
—
OH
Enumeration date
05/10/2007
Last updated
07/09/2007
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