Individual
TRACEY RANAE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
261 TURTLE CREST DR, IRVINE, CA 92603-1002
(949) 573-2942
Mailing address
261 TURTLE CREST DR, IRVINE, CA 92603-1002
(949) 573-2942
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
76972
CA
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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