Individual
KATELYN A JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5907
(907) 458-6424
Mailing address
315 BARNETTE ST UNIT 72768, FAIRBANKS, AK 99707-0679
(509) 222-0765
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
214278
AK
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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