Individual
TAYLOR JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 HOMESTEAD DR, LEBANON, OH 45036-7883
(937) 217-3303
Mailing address
1301 HOMESTEAD DR, LEBANON, OH 45036-7883
(937) 217-3303
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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