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Individual

JENNIFER RAQUEL JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
140 OLD ORANGEBURG RD, ORANGEBURG, NY 10962-1157
(917) 553-0092
Mailing address
140 OLD ORANGEBURG RD, ORANGEBURG, NY 10962-1157

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
726728
NY

Other

Enumeration date
03/06/2024
Last updated
03/06/2024
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