Individual
CAROLE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7850
Mailing address
849 S 600 W, OREM, UT 84058-6788
(801) 357-2970
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
141951-3102
UT
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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