Individual
MRS. DIANNA MARIE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2412 FOX FIELD STREET, WESTLAKE, LA 70669-2027
(337) 707-2913
Mailing address
2412 FOX FIELD STREET, WESTLAKE, LA 70669-2027
(337) 707-2913
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
02/28/2022
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