Individual
ADRIANA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
7402 N 56TH ST STE 909, TAMPA, FL 33617-7733
(813) 534-0025
Mailing address
PO BOX 11434, TAMPA, FL 33680-1434
(813) 534-0025
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CL1229896
FL
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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