Individual
MRS. MARIA JEM TRESCONY JENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11308 TRILLIUM LN N, CHAMPLIN, MN 55316-2685
(763) 350-3357
Mailing address
11308 TRILLIUM LN N, CHAMPLIN, MN 55316-2685
(763) 350-3357
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13512
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780202275
—
WA
Enumeration date
07/10/2020
Last updated
12/16/2024
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