Individual
ALINE I JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
451 E MADISON AVE, BASTROP, LA 71220-3829
(318) 283-0868
Mailing address
110 BOONE ST, RAYVILLE, LA 71269-3429
(318) 303-3443
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN121470
LA
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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