Individual
DAMIAN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
1200 S MOHAVE AVE, PARKER, AZ 85344
(928) 669-9201
Mailing address
3480 CYPRESS ST, KINGMAN, AZ 86401-3830
(702) 859-8011
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
172782
CO
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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