Individual
MARK JENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1400 ROYAL AVE, MONROE, LA 71201-5608
(318) 323-7246
Mailing address
1400 ROYAL AVE, MONROE, LA 71201-5608
(318) 323-7246
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1560
LA
Other
Enumeration date
02/10/2009
Last updated
05/03/2010
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