Provider Demographics
NPI:1467820696
Name:JENKINS, LAKISHA (ND, RH)
Entity Type:Individual
Prefix:DR
First Name:LAKISHA
Middle Name:
Last Name:JENKINS
Suffix:
Gender:F
Credentials:ND, RH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2334 M ST
Mailing Address - Street 2:SUITE 3511
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95344-2200
Mailing Address - Country:US
Mailing Address - Phone:209-291-8399
Mailing Address - Fax:844-272-1896
Practice Address - Street 1:850 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-4638
Practice Address - Country:US
Practice Address - Phone:209-291-8399
Practice Address - Fax:844-272-1896
Is Sole Proprietor?:No
Enumeration Date:2015-09-03
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath