Individual
MRS. JARREESHA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3207 W SAINT ANNE AVE, PHOENIX, AZ 85041-6387
(602) 257-3887
Mailing address
3207 W SAINT ANNE AVE, PHOENIX, AZ 85041-6387
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP038130
AZ
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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