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Individual

DANIEL TAYLOR JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4141 N BLACKSTONE AVE, FRESNO, CA 93726-3808
(559) 579-1744
Mailing address
4141 N BLACKSTONE AVE, FRESNO, CA 93726-3808
(559) 579-1744

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
172V00000X
Community Health Worker
Primary

Other

Enumeration date
03/29/2023
Last updated
05/24/2024
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