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Individual

ALISA JENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3801 MIRANDA AVE, PALO ALTO, CA 94304-1207
(650) 493-5000
Mailing address
324 CHESTERTON AVE, BELMONT, CA 94002-2513
(650) 346-4710

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95054425
CA

Other

Enumeration date
08/05/2016
Last updated
08/05/2016
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