Individual
HANNAH J JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
194 S. FISHER AVE., # 1, BLACKFOOT, ID 83221
(208) 547-8101
Mailing address
194 S. FISHER AVE., # 1, BLACKFOOT, ID 83221
(208) 547-8101
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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