LESLIE SHANE JENKINS

GRAND RAPIDS, MI
NPI1174567242
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  4704241233)
Enumeration Date2006-06-16
Last Update Date2010-06-24
Business Address
-- LESLIE SHANE JENKINS
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503-4502
Phone number: 616-732-8956
Mailing Address
-- LESLIE SHANE JENKINS
255 W MICHIGAN AVE
JACKSON, MI 49201-2218
Phone number: 517-787-6440