Search › Washington › 183500000X
Micajah Jenkins
NPI 1760888051 · on the registry since 2014 · sole proprietor
Practice
- Address
- 3497 Bethel Rd Se
Port Orchard, WA 98366 - Phone
- (360) 874-9063
- Fax
- (360) 874-0071
- Organisation at this address
- Walmart
Walmart Inc.
Wal-Mart Stores IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Also registered as
- 183500000X
- Licence states on file
- WA, MT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-11-13
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 Washington