Individual
KANISHA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 CASTLETON TER, UPPER MARLBORO, MD 20774-1448
(240) 602-1247
Mailing address
212 CASTLETON TER, UPPER MARLBORO, MD 20774-1448
(240) 602-1247
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R178194
MD
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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