Individual
HAZEL JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3761 DRESDEN DR E, CHARLOTTE, NC 28205-6310
(704) 307-6086
Mailing address
3761 DRESDEN DR E, CHARLOTTE, NC 28205-6310
(704) 307-6086
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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