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Individual

MS. LISA JENE JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
75 NEILSON ST, STE 1432, WATSONVILLE, CA 95076-2468
(831) 763-6088
(831) 763-6463
Mailing address
4 ROSSI CIR, SUITE 141, SALINAS, CA 93907-2362
(831) 757-4444
(831) 757-4419

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A26750
CA
207Q00000X
Family Medicine Physician
A26750
CA

Other

Enumeration date
10/11/2006
Last updated
12/30/2009
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