Individual
TONYA TOMIKA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
106 WYATT LN, SUMMERVILLE, SC 29485-8769
(843) 330-9949
Mailing address
106 WYATT LN, SUMMERVILLE, SC 29485-8769
(843) 330-9949
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
91986
SC
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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