Individual
NORMA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4650 N. HWY 89, SPACE C-2, FLAGSTAFF, AZ 86004
(928) 522-8424
(928) 526-1503
Mailing address
11103 WEST AVENUE, STE 6, SAN ANTONIO, TX 78213
(210) 524-6803
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
116
AZ
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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