Individual
MARCIE JAMEIKA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
108 BIRCH RIDGE DR, COLUMBIA, SC 29229-9259
(803) 404-7690
Mailing address
108 BIRCH RIDGE DR, COLUMBIA, SC 29229-9259
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
116356
SC
Other
Enumeration date
04/05/2023
Last updated
04/06/2023
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