Individual
TRAVIS DEAN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1301 N A ST, LOMPOC, CA 93436-3516
(805) 742-3301
Mailing address
4021 ALTAIR PL, LOMPOC, CA 93436-1425
(208) 520-2662
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
240290978
CA
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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