Individual
LATORYA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
413 E MARKET RD, STARKE, FL 32091-1701
(386) 344-8949
Mailing address
413 E MARKET RD, STARKE, FL 32091-1701
(386) 344-8949
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
101992700
FL
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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