Individual
SANFORD D JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2450 COLORADO AVE STE 100, SANTA MONICA, CA 90404-3575
(310) 893-1693
Mailing address
2450 COLORADO AVE STE 100, SANTA MONICA, CA 90404-3575
(310) 893-1693
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
00055846
CA
Other
Enumeration date
10/09/2024
Last updated
10/12/2024
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