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Individual

MISS ELIZABETH CHERITA JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
18101 OAKWOOD BLVD, INTERIM STAY UNIT, DEARBORN, MI 48123-4089
(313) 982-5770
(313) 982-5771
Mailing address
4534 WEST OUTER DRIVE, DETROIT, MI 48235-1210
(248) 798-6753

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704163024
MI

Other

Enumeration date
09/28/2006
Last updated
09/14/2009
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