Individual
AIYSHA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1322 N AVALON BLVD, WILMINGTON, CA 90744-2639
(310) 513-1300
Mailing address
1322 N AVALON BLVD, WILMINGTON, CA 90744-2639
(310) 513-1300
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
189667
CA
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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