Individual
CHANDA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
810 W MAIN ST, JAMESTOWN, NC 27282-9508
(336) 899-7777
Mailing address
810 W MAIN ST, JAMESTOWN, NC 27282-9508
(336) 899-7777
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
M16018
NC
Other
Enumeration date
04/26/2014
Last updated
04/26/2014
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