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
- City
- Priest River
- State
- Idaho
- ZIP Code
- 83856-7768
- Phone
- (208) 597-5196
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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