Individual
MARILYN JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
16714 MERIDIAN E STE 7-A, PUYALLUP, WA 98375-6143
(253) 770-8981
Mailing address
18910 98TH AVENUE CT E, PUYALLUP, WA 98375-6978
(253) 846-8568
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00008011
WA
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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