Individual
DR. ENCHANTA L JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
577 E ELDER ST STE F, FALLBROOK, CA 92028-3079
(760) 645-3407
(760) 990-4523
Mailing address
1374 S MISSION RD UNIT 429, FALLBROOK, CA 92028-4006
(760) 909-9435
(760) 990-4523
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
200301268
NC
207V00000X
Obstetrics & Gynecology Physician
01053687A
IN
207V00000X
Obstetrics & Gynecology Physician
200301268
NC
207V00000X
Obstetrics & Gynecology Physician
Primary
C143625
CA
208D00000X
General Practice Physician
200301268
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000668
—
CA
Enumeration date
01/26/2006
Last updated
09/17/2024
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