Individual
SIERRA JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
217 E BREMER AVE, WAVERLY, IA 50677-3435
(319) 352-1234
Mailing address
217 E BREMER AVE, WAVERLY, IA 50677-3435
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14382494
IA
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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