Individual
PRECIOUS JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6412 N UNIVERSITY DR, TAMARAC, FL 33321-4055
(954) 726-6722
(954) 726-6723
Mailing address
5631 NW 12TH ST, LAUDERHILL, FL 33313-6236
(561) 401-6994
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 5189392
FL
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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