Individual
DR. VIVIAN M JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1400 164TH ST SW, LYNNWOOD, WA 98087-8515
(425) 741-8937
(626) 357-3179
Mailing address
12600 DOUBLE EAGLE DR, MUKILTEO, WA 98275-5556
(310) 663-8278
(626) 356-9326
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13199T
CA
Other
Enumeration date
02/22/2007
Last updated
01/29/2024
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