Individual
RUTHELL JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3720 WILLIAMS LANDING CIR UNIT 208, TAMPA, FL 33610-9130
(863) 206-7960
Mailing address
PO BOX 863, AUBURNDALE, FL 33823-0863
(863) 206-7960
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/21/2018
Last updated
01/21/2018
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