BREANNA KRISTINE JENKS

LEWISTON, ID
NPI1699029439
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  1182)
Enumeration Date2012-11-01
Last Update Date2012-11-01
Business Address
BREANNA KRISTINE JENKS COTA/L
1014 BURRELL AVE
LEWISTON, ID 83501-5589
Phone number: 208-743-4558
Mailing Address
BREANNA KRISTINE JENKS COTA/L
1291 SYCAMORE ST
CLARKSTON, WA 99403-2201
Phone number:
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