Individual
MICHELLE LEESANG JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3800 RESERVOIR RD NW, PHC BUILDING 2ND FLOOR, WASHINGTON, DC 20007-2113
(202) 444-3704
Mailing address
3800 RESERVOIR RD NW, PHC BUILDING 2ND FLOOR, WASHINGTON, DC 20007-2113
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110005293
VA
363A00000X
Physician Assistant
C0004926
MD
363A00000X
Physician Assistant
Primary
PA037073
DC
Other
Enumeration date
10/31/2012
Last updated
10/14/2016
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