Individual
REBECCA JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 N 1100 E STE C, AMERICAN FORK, UT 84003-2918
(801) 874-1945
Mailing address
916 S 800 EAST CIR, ST GEORGE, UT 84790-5613
(435) 669-4344
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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