JESSE LANE JENKINS

MOUNTAIN CITY, TN
NPI1558947069
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2021-03-23
Last Update Date2021-03-23
Business Address
JESSE LANE JENKINS IDC
1734 COLD SPRINGS RD
MOUNTAIN CITY, TN 37683-4040
Phone number: 423-440-9174
Mailing Address
JESSE LANE JENKINS IDC
1734 COLD SPRINGS RD
MOUNTAIN CITY, TN 37683-4040
Phone number: 423-440-9174