Jenkins League, Latisha

Jenkins League, Latisha is an individual health care provider with primary practice located at 508 Alabama St , Vallejo CA 94590-4446. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Jenkins League, Latisha can be contacted via phone (510) 680-6556.

Contact Information

Primary practice address
508 Alabama St Vallejo CA 94590-4446
Phone: (510) 680-6556
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1346602521
LBN Legal business name Jenkins League, Latisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2016
Last updated Jul 19th, 2023 - about 2 years 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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