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Individual

CALVIN LAMAR JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5043 N 4TH ST, PHILADELPHIA, PA 19120-3832
(267) 761-0462
Mailing address
5043 N 4TH ST, PHILADELPHIA, PA 19120-3832

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
02/27/2019
Last updated
02/27/2019
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