Individual
LATRINA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 SHARTOM DR, AUGUSTA, GA 30907-4748
(706) 294-9434
(651) 800-9979
Mailing address
116 SHARTOM DR, AUGUSTA, GA 30907-4748
(706) 294-9434
(651) 800-9979
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
LCB20190001116
GA
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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