Most Relevant Information
Provider Data
| NPI Number: | 1003509928 |
| Provider Name: | CHARNESHA JENKINS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/26/2023 |
| Last Updated: | 05/26/2023 |
Provider Practice Location
1700 E FLORIDA AVE
HEMET
CA
925444679
Practice Location Phone/Fax
| Phone: | 9513576959 |
| Fax: |
Provider Mailing Location
PO BOX 2686
HEMET
CA
925462686
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |