Individual
MCKENZIE GRACE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
319 N 12TH ST UNIT 1, CORSICANA, TX 75110-4604
(903) 641-8409
Mailing address
319 N 12TH ST UNIT 1, CORSICANA, TX 75110-4604
(903) 641-8409
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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