| NPI | 1194380196 |
|---|---|
| Former Name | CLIFTON RUPERT JENKINS-HOUK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |