Individual
MS. MAHASAN S JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3316 N 3RD ST, MILWAUKEE, WI 53212-1429
(414) 793-6639
Mailing address
3316 N 3RD ST, MILWAUKEE, WI 53212-1429
(414) 793-6639
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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