Individual
LAUREN JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 N MONCUIN DR, AYLETT, VA 23009-3315
(804) 263-4968
Mailing address
51 N MONCUIN DR, AYLETT, VA 23009-3315
(804) 263-4968
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006957
VA
Other
Enumeration date
05/11/2016
Last updated
08/28/2024
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