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Individual

SIDNETRA DENISE JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2908 GENTILLY LN, LAS VEGAS, NV 89108-4385
(702) 513-6442
Mailing address
2908 GENTILLY LN, LAS VEGAS, NV 89108-4385
(702) 513-6442

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN85347
NV
163WM0102X
Maternal Newborn Registered Nurse
RN85347
NV

Other

Enumeration date
12/29/2023
Last updated
12/29/2023
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