Individual
LYDIA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7720 E CALLE DEL MINIQUE, TUCSON, AZ 85750-7055
(520) 235-6267
Mailing address
809 IRONGATE CT, NEWPORT NEWS, VA 23602-9626
(520) 235-6267
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R2241
AZ
Other
Enumeration date
06/09/2013
Last updated
09/13/2016
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