Individual
CAMERON LEE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 W GEORGIA AVE, NAMPA, ID 83686-2835
(425) 468-3262
(800) 513-7779
Mailing address
216 LONE STAR RD, NAMPA, ID 83651-2504
(208) 982-6901
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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