Individual
CELIA JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,R.D.
Contact information
Practice address
4515 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98108-2182
(206) 320-5325
Mailing address
4515 MARTIN LUTHER KING JR WAY S, SEATTLE, WA 98108-2182
(206) 320-5325
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI 00001930
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DI 00001930
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
Enumeration date
08/10/2012
Last updated
08/10/2012
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