Individual
CAROLE A JENKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CONWAY CT, TROY, NY 12180-2108
(518) 274-6525
Mailing address
1 CONWAY CT, TROY, NY 12180-2108
(518) 274-6525
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
324373-1
NY
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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