Individual
ANGELA DENNISE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
5113 BACK STRETCH BLVD, UPPER MARLBORO, MD 20772-2964
(240) 461-9308
Mailing address
5113 BACK STRETCH BLVD, UPPER MARLBORO, MD 20772-2964
(240) 461-9308
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R126130
MD
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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