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Individual

MRS. LATONYA BOND JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
210 W LIBERTY ST, WILLIAMSTON, NC 27892-1712
(252) 793-1619
(252) 793-1644
Mailing address
210 W LIBERTY ST, WILLIAMSTON, NC 27892-1712
(252) 793-1619
(252) 793-1644

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
171872
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
181
EMPLOYEE ID NUMBER
NC
Enumeration date
11/04/2010
Last updated
11/04/2010
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