Most Relevant Information
Provider Data
NPI Number: | 1003292046 |
Provider Name: | KIARA JENKINS |
Entity Type: | Individual |
Taxonomy Code: | 3747A0650X |
Specialty: | Technician |
License Number: | 0132488 |
Most Important Dates
Enumeration Date: | 07/31/2015 |
Last Updated: | 07/31/2015 |
Provider Practice Location
1184 PEARL ST SW
WARREN
OH
444853650
Practice Location Phone/Fax
Phone: | 5672193045 |
Fax: |
Provider Mailing Location
1184 PEARL ST SW
WARREN
OH
444853650
Provider Mailing Phone/Fax
Phone: | 5672193045 |
Fax: |