Individual
BONNIE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16501 OAKWOOD, PINE MOUNTAIN CLUB, CA 93222
(661) 473-9828
Mailing address
PO BOX 6565, PINE MOUNTAIN CLUB, CA 93222-6565
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/16/2014
Last updated
04/13/2016
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