Individual
MARJORIE E JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2401 US HIGHWAY 22 W STE P, UNION, NJ 07083-8519
(908) 378-1821
Mailing address
2401 US HIGHWAY 22 W STE P, UNION, NJ 07083-8519
(908) 378-1821
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00690900
NJ
152W00000X
Optometrist
27OM00158400
NJ
Other
Enumeration date
07/26/2019
Last updated
09/10/2019
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