FERNANDIS WAYNE JENKINS

DAYTON, OH
NPI1922591833
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X 
Enumeration Date2018-06-14
Last Update Date2018-06-14
Business Address
FERNANDIS WAYNE JENKINS
601 XENIA AVE
DAYTON, OH 45410-1825
Phone number: 937-496-2032
Mailing Address
FERNANDIS WAYNE JENKINS
601 XENIA AVE
DAYTON, OH 45410-1825
Phone number: 937-496-2032