Individual
MR. ANDREW WILLAIM JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 CAMINO DE LA REINA STE 110, SAN DIEGO, CA 92108-1512
(619) 299-6060
(619) 299-5379
Mailing address
2920 CLAIREMONT DR APT 38, SAN DIEGO, CA 92117-6768
(619) 261-7403
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/05/2017
Last updated
09/05/2017
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