Individual
MARK JENSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1130 N NIMITZ HWY, HONOLULU, HI 96817-4579
(808) 845-7771
Mailing address
1130 N NIMITZ HWY, HONOLULU, HI 96817-4579
(808) 845-7771
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60980
HI
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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