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: |