Individual
RAUSHANAH JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2726 SPEAR AVE, GLENSIDE, PA 19038-2617
(215) 740-3733
Mailing address
2726 SPEAR AVE, GLENSIDE, PA 19038-2617
(215) 740-3733
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017414930002
—
PA
Enumeration date
10/01/2020
Last updated
10/01/2020
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