Individual
DAVON LANELL JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 PETERMAN DR STE A, ALEXANDRIA, LA 71301-3432
(888) 693-4996
Mailing address
1450 PETERMAN DR STE A, ALEXANDRIA, LA 71301-3432
(888) 693-4996
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/25/2022
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