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NPI Code Detail

MEDICARE: QUINNICKA JENKINS

MEDICARE: QUINNICKA JENKINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist021877OH

General Provider Information

NPI Number : 1528832433
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUINNICKA JENKINS
Provider Business Mailing Address
First Line : 2527 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-3322
Country : US
Telephone Number : 614-279-2525
Fax Number :
Provider Business Practice Location Address
First Line : 2527 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-3322
Country : US
Telephone Number : 614-279-2525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2023
Last Update Date : 11/10/2023

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Directions to “ QUINNICKA JENKINS ” Practice Location

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