Individual
LEJON J JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
6555 BULLION AVE, UNIT B, TWENTYNINE PALMS, CA 92277-3293
(619) 517-5945
Mailing address
25878 FRESCA DR, UNIT B, MORENO VALLEY, CA 92553-4951
(619) 517-5945
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/23/2007
Last updated
06/17/2009
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