Individual
DESIREE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81-6587 MAMALAHOA HWY, KEALAKEKUA, HI 96750
(808) 323-2664
Mailing address
91-1841 FORT WEAVER RD, EWA BEACH, HI 96706-1909
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-93842
HI
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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