Individual
MR. OLIVER TYRONE JENKINS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHP
Contact information
Practice address
14200 PALLADIUM DR APT 204, MIDLOTHIAN, VA 23114-6806
(804) 239-9615
Mailing address
14200 PALLADIUM DR APT 204, MIDLOTHIAN, VA 23114-6806
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
VA
344600000X
Taxi
—
VA
Other
Enumeration date
04/28/2019
Last updated
04/28/2019
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