Individual
CARLY JENKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5929 MOUNTAIN AVE, JUNEAU, AK 99801-9710
(925) 216-9758
Mailing address
PO BOX 32839, JUNEAU, AK 99803-2839
(907) 789-7610
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
11/05/2019
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