Most Relevant Information
Provider Data
NPI Number: | 1003015470 |
Provider Name: | PATRICIA PAULINE JENKINS LPN |
Entity Type: | Individual |
Taxonomy Code: | 164W00000X |
Specialty: | Licensed Practical Nurse |
License Number: | PN094239 |
Most Important Dates
Enumeration Date: | 07/16/2007 |
Last Updated: | 07/16/2007 |
Provider Practice Location
10 TOWNSHIP ROAD 212 SOUTH
SCOTTOWN
OH
45678
Practice Location Phone/Fax
Phone: | 7406430848 |
Fax: |
Provider Mailing Location
10 TOWNSHIP ROAD 212 SOUTH
SCOTTOWN
OH
45678
Provider Mailing Phone/Fax
Phone: | 7406430848 |
Fax: |