Individual
EMMERON WEST JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1622 JOHN GLENN RD, DAYTON, OH 45410-3221
(801) 404-4241
Mailing address
1622 JOHN GLENN RD, DAYTON, OH 45410-3221
(801) 404-4241
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
48G75015379
OH
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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