Individual
KIANA RAE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 KANSAS CITY ST STE 100, RAPID CITY, SD 57701-3086
(951) 234-2135
Mailing address
BROOKDALE ESTATES 1702 SOUTH DAKOTA 44, LOT #51, RAPID CITY, SD 57702
(951) 234-2135
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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