Brittany Nichole Jenkins
Technician, Other in Rockford, IL. Individual provider (NPI-1).
NPI number1063766285
StatusActive
Last updated in NPPESNov 9, 2012
Details
- NPI
- 1063766285
- Entity type
- Individual (NPI-1)
- Name
- Ms. Brittany Nichole Jenkins
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2012
- Last updated
- Nov 9, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
6905 E State StRockford, IL 61108-2692
Phone 815-397-4142
Mailing address
6905 E State StRockford, IL 61108-2692
Phone 815-397-4142
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