Most Relevant Information
Provider Data
| NPI Number: | 1003665787 |
| Provider Name: | CHARLES SEAN JENKINS |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/15/2024 |
| Last Updated: | 05/15/2024 |
Provider Practice Location
325 4TH AVE STE 2
SOUTH CHARLESTON
WV
253031266
Practice Location Phone/Fax
| Phone: | 3047445085 |
| Fax: |
Provider Mailing Location
325 4TH AVE STE 2
CHARLESTON
WV
253031266
Provider Mailing Phone/Fax
| Phone: | 3047445085 |
| Fax: |