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Individual

CONNIE JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1431 W FAIRVIEW DR, BATON ROUGE, LA 70816-7408
(225) 253-3808
Mailing address
1431 W FAIRVIEW DR, BATON ROUGE, LA 70816-7408
(225) 253-3808

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN116016
LA

Other

Enumeration date
10/24/2014
Last updated
10/24/2014
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