Individual
MR. TAMBOURA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4417 SW 49TH AVE, OCALA, FL 34474-9683
(706) 726-2411
Mailing address
4417 SW 49TH AVE, OCALA, FL 34474-9683
(706) 726-2411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9320219
FL
163WH0200X
Home Health Registered Nurse
9320219
FL
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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