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Individual

ANITRA RICHARDSON JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
85 E. RAMONA EXPRESSWAY, SUITE 1-3, PERRIS, CA 92571-3820
(619) 276-1176
Mailing address
4930 NAPLES ST, SAN DIEGO, CA 92110-3820
(619) 276-1176

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN697367
CA

Other

Enumeration date
03/26/2024
Last updated
03/27/2024
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