Individual
CAMILLA RAE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
525 S CHANDLER VILLAGE DR, CHANDLER, AZ 85226-5069
(602) 648-5444
(602) 772-3801
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5238
AZ
363AS0400X
Surgical Physician Assistant
5238
AZ
Other
Enumeration date
10/31/2012
Last updated
05/23/2024
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