Individual
KAITLYN ADELLE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
304 JB JAMES AVE, PAGE, ND 58064-7705
(302) 864-4067
Mailing address
PO BOX 64, PAGE, ND 58064-0064
(701) 404-3768
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
81671
ND
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/14/2022
Last updated
05/14/2022
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