Individual
TYLER GID JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
726 4TH ST, MARYSVILLE, CA 95901-5656
(530) 749-4467
Mailing address
PO BOX 3067, YUBA CITY, CA 95992-3067
(530) 751-4784
(530) 751-4906
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
A135377
CA
Other
Enumeration date
04/04/2013
Last updated
10/11/2019
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