Individual
JILL JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15-1680 9TH AVE, KEAAU, HI 96749
(808) 315-5880
Mailing address
PO BOX 1464, KEAAU, HI 96749-1464
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
32434
HI
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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