Individual
DEVORIA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
259 BILL FRANCE BLVD STE 200, DAYTONA BEACH, FL 32114-1316
(386) 383-9557
(386) 313-1336
Mailing address
24 RYBARK LN, PALM COAST, FL 32164-6441
(386) 383-9557
(386) 313-1336
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/20/2022
Last updated
03/20/2022
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