Individual
CONNIE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
7104 265TH ST NW, SUITE 115, STANWOOD, WA 98292-6250
(360) 322-8549
Mailing address
7104 265TH ST NW, SUITE 115, STANWOOD, WA 98292-6250
(360) 322-8549
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60678986
WA
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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