Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | MD18395 | DC |
NPI | 1073662029 |
---|---|
Provider Name | Dr. Veronica Delores Jenkins |
First Address | Mitchellville, MD 20721-2449 |
Second Address | Washington, DC 20020-7024 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E69496 | (02) | DC |