MRS. Carol Jo Jenks

NPI #1275184897 in Priest River, Idaho

Provider Information

NPI Number
1275184897
Entity Type
Individual
Name
MRS. Carol Jo Jenks
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Sep 25, 2019
Last Updated
Sep 25, 2019

Practice Location

Address
838 VAY RD
State
Idaho
ZIP Code
83856-7768
Phone
(208) 597-5196

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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