Individual
TARA JENSEN-BRENCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3802 E FLOWER CT, GILBERT, AZ 85298-8897
(701) 690-6415
Mailing address
3802 E FLOWER CT, GILBERT, AZ 85298-8897
(701) 690-6415
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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