Individual
MS. CHRYSTAL DE'NAY JENKINS JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1850 PINEVIEW DR, COLUMBIA, SC 29209-5085
(803) 783-0303
Mailing address
1850 PINEVIEW DR, COLUMBIA, SC 29209-5085
(803) 783-0303
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
43122
SC
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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