Organization
JK ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH ANN JOHNSON (PRESIDENT)
(251) 605-9372
Entity
Organization
Contact information
Practice address
109 CLARK AVE, PRICHARD, AL 36610
(251) 605-9372
Mailing address
PO BOX 10365, PRICHARD, AL 36610-0365
(251) 605-9372
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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