Individual
KEESHA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
955 53RD ST E APT 724, BRADENTON, FL 34208-5896
(941) 807-7384
Mailing address
955 53RD ST E APT 724, BRADENTON, FL 34208-5896
(941) 807-7384
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
236100
FL
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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