Individual
MRS. ERIN MARIE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
859 E FOOTHILL BLVD, UPLAND, CA 91786-4078
(909) 732-9576
Mailing address
1550 HIMALAYAS CIRCLE, UPLAND, CA 91786
(909) 732-9576
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
20506
CA
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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