Individual
SAVANNAH JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16322 NE 20TH ST, VANCOUVER, WA 98684-4520
(325) 320-5692
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
106S00000X
WA
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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