Individual
SAMANTHA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2 FARM COLONY DR, WARREN, PA 16365-5206
(814) 726-2303
(814) 726-7459
Mailing address
2 FARM COLONY DR, WARREN, PA 16365-5206
(814) 726-2303
(814) 726-7459
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002114
PA
Other
Enumeration date
09/04/2008
Last updated
09/16/2013
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