Individual
LESLIE PARENT-JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-A
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-8903
(313) 966-2694
Mailing address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-8903
(313) 966-2694
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000225
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4936305
—
MI
Enumeration date
02/27/2007
Last updated
07/09/2007
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