Individual
MRS. RACHEL P JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 4TH ST, LA GRANDE, OR 97850-2006
(541) 963-2014
Mailing address
804 4TH ST, LA GRANDE, OR 97850-2006
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
518968-93
OR
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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