Individual
LORRAINE M JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 MCDERMOTT RD # 200-304, PLANO, TX 75025-7016
(262) 724-6736
(972) 912-0040
Mailing address
2300 MCDERMOTT RD # 200-304, PLANO, TX 75025-7016
(262) 724-6736
(972) 912-0040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01452235
TX
Other
Enumeration date
09/03/2016
Last updated
09/03/2016
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