Individual
VENA M JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRACTICAL NURSE
Contact information
Practice address
21240 VAN BUREN ST, #1, SOUTHFIELD, MI 48033-5977
(248) 352-0201
Mailing address
21240 VAN BUREN ST, #1, SOUTHFIELD, MI 48033-5977
(248) 352-0201
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703080389
MI
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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