Individual
MRS. MARILYN JOYCE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4182 N BANK ST, KINGMAN, AZ 86409-2715
(928) 692-6480
Mailing address
3090 E CARVER AVE, KINGMAN, AZ 86409-1514
(928) 757-3023
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP043926
AZ
Other
Enumeration date
04/02/2010
Last updated
04/02/2010
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