Individual
GWYNDERLYN PATREAC JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 N EL CIRCULO AVE, PATTERSON, CA 95363-2521
(209) 203-6609
Mailing address
49 SHORTHORN ST, PATTERSON, CA 95363-8853
(209) 652-6149
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
11/11/2019
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