Individual
DEWAYNE G JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2322 VINEYARD AVE APT 7, LOS ANGELES, CA 90016-1641
(310) 774-6049
Mailing address
10866 WILSHIRE BLVD STE 400, LOS ANGELES, CA 90024-4338
(877) 553-1195
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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