Individual
ANGELA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2332 N 17TH ST, OZARK, MO 65721-7819
(417) 827-3851
Mailing address
2332 N 17TH ST, OZARK, MO 65721-7819
(417) 827-3851
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001029041
MO
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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