Individual
LASHAWNDA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3125 28TH ST, BOULDER, CO 80301-1315
(803) 567-9950
Mailing address
12754 SPIRIT BOUND WAY, CHARLOTTE, NC 28273-7711
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
002026636
CO
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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