Individual
MS. JIA SHA'RONDA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
427 HARTT ST, GARRISON, TX 75946-2219
(936) 347-3532
Mailing address
427 HARTT ST, GARRISON, TX 75946-2219
(936) 347-3532
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
308034
TX
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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