Individual
ASHANTI N JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 MILTON AVE, SYRACUSE, NY 13204-1930
(680) 800-4407
Mailing address
406 MILTON AVE, SYRACUSE, NY 13204-1930
(680) 800-4407
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
09/01/2019
Last updated
09/01/2019
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