Individual
JUSTIN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1050 W HAYWARD DR, MOUNT VERNON, MO 65712-6329
(417) 466-7184
(417) 466-4081
Mailing address
1050 W HAYWARD DR, MOUNT VERNON, MO 65712-6329
(417) 466-7184
(417) 466-4081
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2014043134
MO
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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