Individual
PAULA JEAN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 1/2 HICKORY AVE, FAIRMONT, WV 26554-1233
(681) 758-1124
Mailing address
212 1/2 HICKORY AVE, FAIRMONT, WV 26554-1233
(681) 758-1124
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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