Individual
MS. BRENDA JEAN JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
104 GROVER ST, LYNDEN, WA 98264
(360) 927-5913
Mailing address
8573 VINUP ST UNIT A, LYNDEN, WA 98264
(360) 927-5913
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60054679
WA
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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