SearchCalifornia1041C0700X

Carol Jenkins

NPI 1639495153 · on the registry since 2010 · sole proprietor

Practice

Address
1208 N Old Stage Rd
Mount Shasta, CA 96067
Phone
(530) 926-6224

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-04-08

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