Individual
MS. TAMMY L JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1815 HUDSON ST, LONGVIEW, WA 98632-2913
(360) 423-3399
(360) 423-6181
Mailing address
1815 HUDSON ST, LONGVIEW, WA 98632-2913
(360) 423-3399
(360) 423-6181
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00020354
WA
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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