Individual
MRS. GENEVA GAIL JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
TONDA WILLIS, 1505 LAWRENCE STREET APT E9, IRONTON, OH 45638
(740) 532-0852
Mailing address
108 PRIVATE DRIVE 411, IRONTON, OH 45638-7604
(740) 550-6965
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2284773
INDPENDENT PROVIDER
OH
Enumeration date
05/03/2007
Last updated
07/08/2007
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