Individual
ADAM JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1001 W BROADWAY, FARMINGTON, NM 87401-5638
(505) 327-4796
(505) 443-8335
Mailing address
1001 W BROADWAY, FARMINGTON, NM 87401-5638
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2024-0103
NM
Other
Enumeration date
12/08/2023
Last updated
10/09/2024
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