Individual
MARIA CELINA JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 E 20TH ST, SUITE A, FARMINGTON, NM 87401-9039
(505) 326-6400
Mailing address
5339 FEATHER ROCK PL NW, ALBUQUERQUE, NM 87114-4197
(208) 869-0683
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD2013-0407
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457594756
—
UT
05
—
55320538
—
CO
05
—
833511
—
AZ
Enumeration date
04/16/2009
Last updated
12/09/2014
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