Individual
ALYSSA NICOLE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
291 LORISH AVE, WILMINGTON, OH 45177-1526
(937) 283-7565
Mailing address
291 LORISH AVE, WILMINGTON, OH 45177-1526
(513) 502-4309
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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