Individual
BRIANNA HELENE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11746 DEACON DR, ROCKTON, IL 61072
(815) 904-2004
Mailing address
11746 DEACON DR, ROCKTON, IL 61072-9411
(815) 904-2004
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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