Individual
DEANDREA RESHAUN JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM TECH
Contact information
Practice address
4207 CHESTWOOD CT APT 167, TAMPA, FL 33610-2479
(813) 748-0066
Mailing address
4207 CHESTWOOD CT APT 167, TAMPA, FL 33610-2479
(813) 748-0066
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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