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Individual

MARTHA LEE JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5825 AIRLINE HWY, LSU UNIT, BATON ROUGE, LA 70805-2408
(225) 358-1065
(225) 358-1076
Mailing address
5825 AIRLINE HWY, LSU UNIT, BATON ROUGE, LA 70805-2408
(225) 358-1065
(225) 358-1076

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA .A10217.RX
LA

Other

Enumeration date
02/12/2008
Last updated
02/20/2012
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