Individual
FAYE WHITING JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
105 MARGARET LN, GRASS VALLEY, CA 95945-5289
(530) 272-9615
Mailing address
105 MARGARET LN, GRASS VALLEY, CA 95945-5289
(530) 272-9615
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
36652
KY
207V00000X
Obstetrics & Gynecology Physician
Primary
26002
OK
Other
Enumeration date
04/03/2006
Last updated
02/25/2020
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