Individual
MS. KEYANNA A JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
1241 OAK ST, EUGENE, OR 97401-3519
(541) 686-9897
(541) 485-3505
Mailing address
1610 GEM PL NE, SALEM, OR 97301-2099
(541) 686-9897
(541) 485-3505
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-10138979
OR
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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