Harold Ray Jenkins Valid NPI
Individual provider · Peer Specialist · Braggs, OK
- NPI
- 1710475645
- Type
- Individual (Type 1)
- Primary specialty
- Peer Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 175T00000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2018-04-26
- Last updated
- 2018-04-26
Practice location
400 Madison St.
Braggs, OK 74423
(918) 577-5552