EBONY SHAYTEVA JENKINS

WEST COLUMBIA, SC
NPI1760241541
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SC  28880)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-15
Last Update Date2024-08-23
Business Address
EBONY SHAYTEVA JENKINS CRNA
2720 SUNSET BLVD
WEST COLUMBIA, SC 29169-4810
Phone number: 803-791-2000
Mailing Address
EBONY SHAYTEVA JENKINS CRNA
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone number: 803-791-2203