Individual
DOROTHEA L JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1722 N 84TH TER, OMAHA, NE 68114-2909
(531) 299-2401
(531) 299-2419
Mailing address
1722 N 84TH TER, OMAHA, NE 68114-2909
(531) 299-2401
(531) 299-2419
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
91481
NE
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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