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Individual

OLIVIA JENKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPE

Contact information

Practice address
6800 INDIANA AVE STE 205, RIVERSIDE, CA 92506-4267
(909) 717-6069
Mailing address
6800 INDIANA AVE STE 205, RIVERSIDE, CA 92506-4267
(909) 717-6069

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
207NS0135X
Procedural Dermatology Physician
Primary
L9920
CA

Other

Enumeration date
06/27/2024
Last updated
06/27/2024
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