NPI 1316552912

Angela Jenkins, NA

Practitioner Driver Springfield, MA

Practice location

Address: 58 Virginia St, Springfield, MA 01108-2623
Phone: (470) 209-5678

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1316552912
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Sep 2020
Record last updated: 22 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.