Individual
MRS. LEDEIDRE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5412 LANCASTER DRIVE, BROOKLYN, OH 44131
(216) 749-8400
Mailing address
5412 LANCASTER DRIVE, BROOKLYN, OH 44137
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN330782
OH
Other
Enumeration date
04/29/2008
Last updated
01/28/2010
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