Individual
MS. ELISE CHRISTINE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
20228 BALLINGER WAY NE, SHORELINE, WA 98155-1144
(425) 773-8040
Mailing address
12902 69TH DR SE, SNOHOMISH, WA 98296-4268
(425) 773-8040
(425) 379-7653
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60040555
WA
Other
Enumeration date
09/27/2008
Last updated
09/27/2008
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