Individual
ARTIMUS JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 N GIBBS ST, POMONA, CA 91767-5416
(909) 461-6506
Mailing address
404 N GIBBS ST, POMONA, CA 91767-5416
(909) 461-6506
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7704-R
—
104100000X
Social Worker
32687
CA
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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