Individual
MRS. PAMELA GAYLE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN II
Contact information
Practice address
CLSH/RRTC, UNIT # 6 MEADOW LANE, PINEVILLE, LA 71360
(318) 484-6354
Mailing address
712 DASPIT ST, ALEXANDRIA, LA 71302-5339
(318) 448-4562
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
920009
LA
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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