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Individual

DR. DANIEL K JENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2810 E CAUSEWAY APPROACH, MANDEVILLE, LA 70448-3502
(985) 875-2340
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.07148R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1370053
LA
Enumeration date
05/04/2006
Last updated
01/23/2009
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