Individual
CONSTANCE ADELL JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 CLARK RD SPC 16B, OROVILLE, CA 95965-9140
(530) 813-0554
Mailing address
PO BOX 1356, PARADISE, CA 95967-1356
(530) 327-8801
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
G0192394
CA
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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