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Individual

TAMMY RAE JENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
1950 KEENE RD, BLDG J, RICHLAND, WA 99352-7751
(509) 727-2967
(509) 769-5220
Mailing address
8614 W CANYON AVE, KENNEWICK, WA 99336-7906
(509) 727-2967

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA60368169
WA

Other

Enumeration date
05/14/2013
Last updated
05/08/2015
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