Individual
DR. WAYNE D. JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
61 WESTFARMS MALL # D111, FARMINGTON, CT 06032-2631
(860) 561-5687
(860) 561-8905
Mailing address
61 WESTFARMS MALL # D111, FARMINGTON, CT 06032-2631
(860) 561-5687
(860) 561-8905
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CT2074
CT
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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