Individual
COURTNEY CARUTHA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.T
Contact information
Practice address
1761 HOTEL CIR S, 108-109, SAN DIEGO, CA 92108-3318
(619) 422-1544
Mailing address
1761 HOTEL CIR S, 108-109, SAN DIEGO, CA 92108-3318
(619) 422-1544
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2109
CA
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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