Individual
SHADAE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 COLLINS ST APT 3B, HARTFORD, CT 06105-1536
(860) 814-8601
Mailing address
235 COLLINS ST APT 3B, HARTFORD, CT 06105-1536
(860) 814-8601
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
CT
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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