Individual
TABITHA I JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 COVE AVE, LA GRANDE, OR 97850-3906
(541) 910-8800
(541) 963-5272
Mailing address
2301 COVE AVE, LA GRANDE, OR 97850-3906
(541) 910-8800
(541) 963-5272
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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