| NPI | 1972863041 |
|---|---|
| Doing Business As | JENKINS STREET CLINIC |
| Entity Type | Organization |
| Authorized Contact | PHILICIA M GROVES Nurse Practitioner, Administrator 405-701-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-11-07 |