Individual
MRS. LUISA M JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2151 E PALMDALE BLVD, PALMDALE, CA 93550-4037
(661) 575-0009
Mailing address
45074 10TH ST W, SUITE 109, LANCASTER, CA 93534-2371
(661) 940-7000
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
14984
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14984
REGISTERED DENTAL HYGIENIST
CA
Enumeration date
09/23/2011
Last updated
09/23/2011
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