Individual
MRS. CICELY LATOYA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CEO
Contact information
Practice address
464 INVESTORS PL STE 206E, VIRGINIA BEACH, VA 23452-1384
(757) 384-3232
(757) 384-3223
Mailing address
4736 ELDON CT, VIRGINIA BEACH, VA 23462-7228
(757) 559-3107
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1401203256
VA
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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