Individual
ESHA MASIKA MARSHALL JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
8400 LOUISIANA ST, MERRILLVILLE, IN 46410-6385
(219) 757-1928
Mailing address
911 173RD ST, HAMMOND, IN 46324-2703
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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