Individual
CONSTANCE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55475 SANTA FE TRL, YUCCA VALLEY, CA 92284-3117
(760) 365-3022
(760) 365-3513
Mailing address
55475 SANTA FE TRL, YUCCA VALLEY, CA 92284-3117
(760) 365-3022
(760) 365-3513
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
VN229998
CA
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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