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Dewayne Jenkins
NPI 1396395323 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2322 Vineyard Ave Apt 7
Los Angeles, CA 90016 - Phone
- (310) 774-6049
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-09-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California