Individual
RYAN SCOTT JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4838 E. BASELINE ROAD, SUITE 108, MESA, AZ 85206-4672
(480) 981-2400
(480) 981-2407
Mailing address
4838 E. BASELINE ROAD, SUITE 108, MESA, AZ 85206-4672
(480) 981-2400
(480) 981-2407
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN184212
AZ
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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