BRANDON JENKINS

CALDWELL, ID
NPI1457234429
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2025-07-28
Last Update Date2025-07-28
Business Address
BRANDON JENKINS
2814 S INDIANA AVE
CALDWELL, ID 83605-5925
Phone number: 208-514-8384
Mailing Address
BRANDON JENKINS
3017 S OHIO AVE
CALDWELL, ID 83605-5956
Phone number: 208-514-8384