Individual
MRS. MAKILTRU LATRECE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
9827 ELIZABETHS GLEN LANE, TOMBALL, TX 77375-8281
(832) 559-8824
Mailing address
9827 ELIZABETHS GLEN LANE, TOMBALL, TX 77375-8281
(832) 559-8824
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
722987
TX
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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