Jenks, Olivia

Jenks, Olivia is an individual health care provider with primary practice located at 6800 Indiana Ave Ste 205 , Riverside CA 92506-4267. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is her primary health care specialty. Jenks, Olivia can be contacted via phone (909) 717-6069.

Contact Information

Primary practice address
6800 Indiana Ave Ste 205 Riverside CA 92506-4267
Phone: (909) 717-6069
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X L9920 California

Profile Details

NPI number 1427893767
LBN Legal business name Jenks, Olivia
Credentials LPE
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2024
Last updated Jun 27th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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