Individual
ANTONIO DWAYNE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1219 FERN ST NW, WASHINGTON, DC 20012-2329
(202) 377-9342
Mailing address
1219 FERN ST NW, WASHINGTON, DC 20012-2329
(202) 377-9342
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
DC
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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