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MR. DANIEL JENKINS RN

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1538485412

Individual Registrant:
MR. DANIEL  JENKINS RN
Gender: M
Not Sole Proprietor

Location and contact information for practice:
HIWAY 264 MP 388  POLACCA, AZ 86042-4000 US
Tel: 928-737-6000  Fax: 928-737-6080

Contact information for business:
PO BOX 4000  POLACCA, AZ 86042-4000 US
Tel: 928-737-6000  Fax: 928-737-6080

Registration Information:
NPI: 1538485412
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
AZRN138901

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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