LEJON J JENKINS

TWENTYNINE PALMS, CA
NPI1598954893
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2007-10-23
Last Update Date2009-06-17
Business Address
-- LEJON J JENKINS IDC
6555 BULLION AVE UNIT B
TWENTYNINE PALMS, CA 92277-3293
Phone number: 619-517-5945
Mailing Address
-- LEJON J JENKINS IDC
25878 FRESCA DR UNIT B
MORENO VALLEY, CA 92553-4951
Phone number: 619-517-5945