Individual
MS. AMBER JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4814 SYCAMORE RD, NEWPORT, MI 48166-9014
(734) 497-2715
Mailing address
4814 SYCAMORE RD, NEWPORT, MI 48166-9014
(734) 497-2715
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703085834
MI
Other
Enumeration date
04/16/2016
Last updated
04/16/2016
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