Individual
COLLEEN O'CONNOR JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
301 N R ST, LOMPOC, CA 93436-5226
(805) 350-0130
(805) 737-6412
Mailing address
301 N R ST, LOMPOC, CA 93436-5226
(805) 350-0130
(805) 737-6412
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
566236
CA
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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