BLAKE JENKINS

MAYSVILLE, KY
NPI1801526850
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: KY  168970)
Enumeration Date2022-06-13
Last Update Date2022-06-13
Business Address
BLAKE JENKINS LDO
240 WAL MART WAY
MAYSVILLE, KY 41056-7516
Phone number: 606-759-0385
Mailing Address
BLAKE JENKINS LDO
240 WAL MART WAY
MAYSVILLE, KY 41056-7516
Phone number: 606-759-0385