Individual
DR. BRAEDEN TYLER-MAKAI JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2572 E MARIPOSA DR, EAGLE, ID 83616-5555
(661) 388-3362
Mailing address
2572 E MARIPOSA DR, EAGLE, ID 83616-5555
(661) 388-3362
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-2388
ID
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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