Individual
ALECIA RENEE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1710 PROSPECT AVE E, CLEVELAND, OH 44115-2322
(216) 781-3773
(216) 781-2023
Mailing address
5280 WILLIAM ST, MAPLE HEIGHTS, OH 44137-1071
(216) 258-9394
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN091051
OH
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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